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Form 1045 NATIONAL OFFICERS CENTRAL COMMITTEE CALVIN COOLIDGE. PRESIDENT JOHN BARTON PAYNE, CHAIRMAN ROBERT W. DE FOREST, VICE PRESIDENT MRS. AUGUST BELMONT CORNELIUS N. BLISS WILLIAM HOWARD TAFT. VICE PRESIDENT THE AMERICAN RED CROSS MABEL T. BOARDMAN WILLIAM D. MITCHELL, COUNSELOR MRS, HENRY P. DAVISON GARDARD B. WINSTON, TREASURER NATIONAL HEADQUARTERS E. B. DOUGLAS JOSEPH C. GREW MABEL T. BOARDMAN. SECRETARY WASHINGTON, D. C. MRS. FRANK v. HAMMAR HERBERT HOOVER MAJ. GEN. M, W. IRELAND NATIONAL EXECUTIVE OFFICERS WILLIAM D. MITCHELL W. W. MORROW JOHN BARTON PAYNE, CHAIRMAN GUSTAVUS D. POPE JAMES L. FIESER, VICE CHAIRMAN MRS. HENRY R. REA JOHN D. RYAN ERNEST P. BICKNELL. VICE CHAIRMAN GEORGE E. SCOTT April, I, I926. REAR ADMIRAL E. R. STITT GARRARD B. WINSTON Dear Madam: As you undcubtedly know, the National Committee on Red Cross Nursing Service requires us to submit, annually, a list of all the Red Cross Nurses enrolled with our Committee, with their latest addresses. We know that you are very busy, but we are extremely anxious to make a very complete report to National Headquarters and ask for your cooperation. Please answer the following questions and return this form to me, in the enclosed envelope, at the earliest possible date. Yours sincerely, Chairman Secretary. or San Francisco Local Committee. Civic Auditorium, San Francisco, Name in full If married, give husband's name Permanent address Bop#106 RF3 above Hayward issif Probable address for the next year Telephone No. Name and address of nearest relative (State relationship) Underline the type of work you are now doing: - Army - Navy - U.S.P.H.Hospital - U.S. Vet. Hospital - Public Farming Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? Mo Have you ever been? no Indicate present physical condition Would you respond to an emergency call in event of epidemic, disaster, war, etc.? yes Badge No. 15387 Current date 15337 april7 th 1926 NOTE.--If the nurse does not complete and return this questionnaire, and can not be located within two years, her enrollment will be annulled.

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Context sent to Scholar

Document identity
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Page context
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    "ocrText": "Form 1045\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nCALVIN COOLIDGE. PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nROBERT W. DE FOREST, VICE PRESIDENT\nMRS. AUGUST BELMONT\nCORNELIUS N. BLISS\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nTHE AMERICAN RED CROSS\nMABEL T. BOARDMAN\nWILLIAM D. MITCHELL, COUNSELOR\nMRS, HENRY P. DAVISON\nGARDARD B. WINSTON, TREASURER\nNATIONAL HEADQUARTERS\nE. B. DOUGLAS\nJOSEPH C. GREW\nMABEL T. BOARDMAN. SECRETARY\nWASHINGTON, D. C.\nMRS. FRANK v. HAMMAR\nHERBERT HOOVER\nMAJ. GEN. M, W. IRELAND\nNATIONAL EXECUTIVE OFFICERS\nWILLIAM D. MITCHELL\nW. W. MORROW\nJOHN BARTON PAYNE, CHAIRMAN\nGUSTAVUS D. POPE\nJAMES L. FIESER, VICE CHAIRMAN\nMRS. HENRY R. REA\nJOHN D. RYAN\nERNEST P. BICKNELL. VICE CHAIRMAN\nGEORGE E. SCOTT\nApril, I, I926.\nREAR ADMIRAL E. R. STITT\nGARRARD B. WINSTON\nDear Madam:\nAs you undcubtedly know, the National Committee on Red Cross Nursing Service\nrequires us to submit, annually, a list of all the Red Cross Nurses enrolled with our\nCommittee, with their latest addresses. We know that you are very busy, but we are\nextremely anxious to make a very complete report to National Headquarters and ask for\nyour cooperation. Please answer the following questions and return this form to me,\nin the enclosed envelope, at the earliest possible date.\nYours sincerely,\nChairman Secretary.\nor\nSan Francisco\nLocal Committee.\nCivic Auditorium, San Francisco,\nName in full\nIf married, give husband's name\nPermanent\naddress Bop#106 RF3 above Hayward issif\nProbable address for the next year\nTelephone No.\nName and address of nearest relative\n(State relationship)\nUnderline the type of work\nyou are now doing:\n-\nArmy - Navy - U.S.P.H.Hospital - U.S. Vet. Hospital - Public\nFarming\nHealth - Institutional - Private Duty - Industrial - Office Nurse - Registrar\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? Mo\nHave you ever been?\nno\nIndicate present physical condition\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.?\nyes\nBadge No. 15387\nCurrent date\n15337\napril7 th 1926\nNOTE.--If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled."
}