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Tate, Audrey Marie

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+ FORM 1045 REV. 4-4-38 you THE AMERICAN RED CROSS NATIONAL HEADQUARTERS WASHINGTON, D. C. 2 QUESTIONHAIRES DESTROYED Dear Red Cross Nurse: The National Committee on Red Cross Nursing Service requires us to submit, annually, a report of all the Red Cross Nurses enrolled with our Committee. Will you therefore, please answer the following questions and return this form to me, in the enclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED WITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec- ognize the value of filing this information and will return the questionnaire promptly, as we are extremely anxious to make a very complete report to National Headquarters. IMPORTANT: In order to render prompt service Yours sincerely, in time of disaster, enrolled Red Cross Nurses should report at once to the mary Haw: home Chairman or Secretary. Secretary of the Local Committee under which they are enrolled. Do not forget DIST: OF COLUMBIA Local Committee. the address of the Secretary. Name in full Candrey marie Jate R.n. If married, give husband's name D. C. Permanent address ( 1655 - 347 th St. n.w. (STREET, ETC.) (CITY) (COUNTY) (STATE) Probable address for the next year same (STREET, ETC.) Telephone No. mi 2297 D.C. (CITY) (COUNTY) (STATE) Name and address of nearest relative or friend, in United States, through whom you may be communicated with in an emergency. (State relationship) mrs anna m. Jate - mother Same address Underline the type of work you are now doing: Army - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service - Public Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar. Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no Have you ever been? no Would you like to teach Red Cross classes? no Indicate present physical condition exullent Would you respond to an emergency call in event of epidemic, disaster, war, etc.? yes Badge No. 58962 Current date 3-7-39 NOTE.--If the nurse does not complete and return this questionnaire, and can not be located within two years, her enrolment will be removed from our active files.

Page data

Page
78
Source index
0
Type
photo
Media ID
e6747af2986981a0
Size
unknown

Document data

ID
2662340
Core
doc
Type
document
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Context sent to Scholar

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Document source extras 
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    "url": "https://catalog.archives.gov/id/2662340",
    "naId": 2662340,
    "coverageEndDate": {
        "day": 12,
        "logicalDate": "1945-09-12",
        "month": 9,
        "year": 1945
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        "day": 6,
        "logicalDate": "1934-04-06",
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Page context 
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    "ocrText": "+\nFORM 1045\nREV. 4-4-38\nyou\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D. C.\n2 QUESTIONHAIRES\nDESTROYED\nDear Red Cross Nurse:\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a report of all the Red Cross Nurses enrolled with our Committee. Will you\ntherefore, please answer the following questions and return this form to me, in the\nenclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED\nWITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-\nognize the value of filing this information and will return the questionnaire promptly,\nas we are extremely anxious to make a very complete report to National Headquarters.\nIMPORTANT:\nIn order to render prompt service\nYours sincerely,\nin time of disaster, enrolled Red Cross\nNurses should report at once to the\nmary Haw: home\nChairman or\nSecretary.\nSecretary of the Local Committee under\nwhich they are enrolled. Do not forget\nDIST: OF COLUMBIA Local Committee.\nthe address of the Secretary.\nName in full\nCandrey marie Jate R.n.\nIf married, give husband's name\nD. C.\nPermanent address\n( 1655 - 347 th St. n.w.\n(STREET, ETC.)\n(CITY)\n(COUNTY)\n(STATE)\nProbable address for the next year\nsame\n(STREET, ETC.)\nTelephone No. mi 2297\nD.C.\n(CITY)\n(COUNTY)\n(STATE)\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nmrs anna m. Jate - mother Same address\nUnderline the type of work you are now doing:\nArmy - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service -\nPublic Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no\nHave you ever been? no\nWould you like to teach Red Cross classes? no\nIndicate present physical condition\nexullent\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.?\nyes\nBadge No. 58962\nCurrent date\n3-7-39\nNOTE.--If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be removed from our active files."
}