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NATIONAL OFFICERS
CENTRAL COMMITTEE
CALVIN COOLIDGE, PRESIDENT
JOHN BARTON PAYNE, CHAIRMAN
MRS. AUGUST BELMONT
ROBERT w. DE FOREST. VICE PRESIDENT
CORNELIUS N. BLISS
WILLIAM HOWARD TAFT, VICE PRESIDENT
THE AMERICAN RED CROSS
MABEL T. BOARDMAN
MRS. HENRY P. DAVISON
WILLIAM D. MITCHELL, COUNSELOR
MIDWESTERN BRANCH
E. B. DOUGLAS
OGDEN L, MILLS, TREASURER
MRS. FRANK v. HAMMAR
MABEL T. BOARDMAN, SECRETARY
HERBERT HOOVER
1709 WASHINGTON AVE.,
MAJ. GEN. M. W.LIRELAND
ST, LOUIS, MO.
SAMUEL KNIGHT
NATIONAL EXECUTIVE OFFICERS
OGDEN L. MILLS
WILLIAM D. MITCHELL
JOHN BARTON PAYNE, CHAIRMAN
WM. M. BAXTER, JR.,
ROBERT E, OLDS
GUSTAVUS D. POPE
JAMES L. FIESER, VICE CHAIRMAN
ASSISTANT TO THE VICE CHAIRMAN
MRS. HENRY R. REA
ERNEST P. BICKNELL, VICE CHAIRMAN
AND MANAGER
JOHN D, RYAN
GEORGE E, SCOTT
REAR ADMIRAL E, R. STITT
Hunt
Doar Madam:
As you undoubtedly 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,
IMPORTANT:
In order to render prompt ser-
Mary L. Schermerhorn, R.N., Chairman or
vice in time of disaster, enrolled
Secretary
Grand Rapids
Red Cross nurses should report at
once to the Secretary of the Local
Local Committee
Blodgett Memorial Hospital,
Committee under which they are en-
rolled. Do not forget the addross
of the Secretary.
Grand Rapids, Michigan.
Name in full. Clavice.
If married, give husband 's name
Permanent address, 626. S.E: granch Rajids mich
-
Probable address for the next year same
Telephone No 67244
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.Vot. Hospital - Public
Health - Instituional - Private Duty - Industrial - Office Nurse - Registrar.
Are you an instructor of Red Cross classes in Home Hygieno and care of the Sick?
Have you ever been? no
Indicate present physical condition good
Would you respond to an emergency call in event of epidemic, disaster, war, etc.
Badge No. 22328
Current date 5/15/25
NOTE. - If the nurse does not complete and return this questionnaire, and can not
be located within two years, her enrollment will be annulled.
Form 1045
B=999
2
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"ocrText": "NATIONAL OFFICERS\nCENTRAL COMMITTEE\nCALVIN COOLIDGE, PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nMRS. AUGUST BELMONT\nROBERT w. DE FOREST. VICE PRESIDENT\nCORNELIUS N. BLISS\nWILLIAM HOWARD TAFT, VICE PRESIDENT\nTHE AMERICAN RED CROSS\nMABEL T. BOARDMAN\nMRS. HENRY P. DAVISON\nWILLIAM D. MITCHELL, COUNSELOR\nMIDWESTERN BRANCH\nE. B. DOUGLAS\nOGDEN L, MILLS, TREASURER\nMRS. FRANK v. HAMMAR\nMABEL T. BOARDMAN, SECRETARY\nHERBERT HOOVER\n1709 WASHINGTON AVE.,\nMAJ. GEN. M. W.LIRELAND\nST, LOUIS, MO.\nSAMUEL KNIGHT\nNATIONAL EXECUTIVE OFFICERS\nOGDEN L. MILLS\nWILLIAM D. MITCHELL\nJOHN BARTON PAYNE, CHAIRMAN\nWM. M. BAXTER, JR.,\nROBERT E, OLDS\nGUSTAVUS D. POPE\nJAMES L. FIESER, VICE CHAIRMAN\nASSISTANT TO THE VICE CHAIRMAN\nMRS. HENRY R. REA\nERNEST P. BICKNELL, VICE CHAIRMAN\nAND MANAGER\nJOHN D, RYAN\nGEORGE E, SCOTT\nREAR ADMIRAL E, R. STITT\nHunt\nDoar Madam:\nAs you undoubtedly know, the National Committee on Red Cross Nursing Service\nrequires us to submit, annually, a list of all the Red Cross Nurses enrolled with\nour Committee, with their latest addresses. We know that you are very busy, but we\nare extremely anxious to make a very complete report to National Headquarters and\nask for your cooperation. Please answer the following questions and return this\nform to me, in the enclosed envelope, at the earliest possible date.\nYours sincerely,\nIMPORTANT:\nIn order to render prompt ser-\nMary L. Schermerhorn, R.N., Chairman or\nvice in time of disaster, enrolled\nSecretary\nGrand Rapids\nRed Cross nurses should report at\nonce to the Secretary of the Local\nLocal Committee\nBlodgett Memorial Hospital,\nCommittee under which they are en-\nrolled. Do not forget the addross\nof the Secretary.\nGrand Rapids, Michigan.\nName in full. Clavice.\nIf married, give husband 's name\nPermanent address, 626. S.E: granch Rajids mich\n-\nProbable address for the next year same\nTelephone No 67244\nName and address of nearest relative\n(State relationship)\nUnderline the type of work\nyou are now doing: - Army - Navy - U.S.P.H. Hospital - U.S.Vot. Hospital - Public\nHealth - Instituional - Private Duty - Industrial - Office Nurse - Registrar.\nAre you an instructor of Red Cross classes in Home Hygieno and care of the Sick?\nHave you ever been? no\nIndicate present physical condition good\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.\nBadge No. 22328\nCurrent date 5/15/25\nNOTE. - If the nurse does not complete and return this questionnaire, and can not\nbe located within two years, her enrollment will be annulled.\nForm 1045\nB=999\n2"
}