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FORM 1045-A REV. 7-9-32
NATIONAL OFFICERS
+
CENTRAL COMMITTEE
FRANKLIN D. ROOSEVELT, PRESIDENT
JOHN BARTON PAYNE, CHAIRMAN
CHARLES EVANS HUGHES, VICE PRESIDENT
DEAN G. ACHESON
THE AMERICAN RED CROSS
MRS. AUGUST BELMONT
HERBERT HOOVER, VICE PRESIDENT
JAMES CRAWFORD BIGGS
JAMES CRAWFORD BIGGS, COUNSELOR
CORNELIUS N. BLISS
DEAN G. ACHESON, TREASURER
NATIONAL HEADQUARTERS
MABEL T. BOARDMAN
MRS. HENRY P. DAVISON
MABEL T. BOARDMAN, SECRETARY
WASHINGTON, D. C.
WILLIAM FORTUNE
SAMUEL KNIGHT
NATIONAL EXECUTIVE OFFICERS
MAJ. GEN. ROBERT U. PATTERSON
WILLIAM PHILLIPS
JOHN BARTON PAYNE. CHAIRMAN
August 29, 1934
GUSTAVUS D. POPE
MRS. HENRY R. REA
JAMES L. FIESER, VICE CHAIRMAN
REAR ADMIRAL PERCEVAL S. ROSSITER
ERNEST P. BICKNELL. VICE CHAIRMAN
A.R.C. MAIL ROOM
GEORGE E. SCOTT
JAMES K. McCLINTOCK, VICE CHAIRMAN
HENRY UPSON SIMS
ALFRED E. SMITH
ELIOT WADSWORTH
SEP 17 1934
P
Dear Madam:
Kuring
The National Committee on Red Cross Nursing Service requires us to submit,
annually, a list of all enrolled Red Cross Nurses with their latest addresses. We are
extremely anxious to make a very complete report and ask for your cooperation. Will
you kindly 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 service
Clasa Droges
in time of disaster, enrolled Red Cross
Nurses should report at once to the
National Director,
Secretary of the Local Committee under
Red Cross Nursing Service
which they are enrolled. Do not forget
the address of the Secretary.
Name in full ALMA E.WRIGLEY
If married, give husband's name not
Permanent address 535 (STREET, E California ETC.) street (CITY) Pasadema (COUNTY) California (STATE)
Probable address for the next year
same
(STREET, ETC.)
Telephone No. Wakefield 4457
(CITY)
(COUNTY)
(STATE)
Name and address of nearest relative or friend, in United States, through whom you may
min
neice, miss Ratherine an emergency a. why 253 relationship) Pleasant street, Pasadeur, Califor
be communicated with in (State
nephew., Dr HughT. Wrigley (Executor) 1335 Hunting Park are Philan, Penns
Underline the type of work you are now doing: actived from all duty
Army Navy - U.S.P.H. Service U.S. Vet. Adminis stration U.S. Indian Service
-
Public Health Inst titutional Private Duty Industrial Offic Nurse - Registrar
Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?
Have you ever been?
no
Indicate present physical condition Intercabsular fracture of femur will be
Would you respond to an emergency call in event of epidemic, disaster, war, etc.?
on Bradford Frame for next 3 member, in pluster from arms to toes. no,
Badge No. 251
except Secretaries work later on.
Current date august 10, 1934
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.
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"ocrText": "#1215\nFORM 1045-A REV. 7-9-32\nNATIONAL OFFICERS\n+\nCENTRAL COMMITTEE\nFRANKLIN D. ROOSEVELT, PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nCHARLES EVANS HUGHES, VICE PRESIDENT\nDEAN G. ACHESON\nTHE AMERICAN RED CROSS\nMRS. AUGUST BELMONT\nHERBERT HOOVER, VICE PRESIDENT\nJAMES CRAWFORD BIGGS\nJAMES CRAWFORD BIGGS, COUNSELOR\nCORNELIUS N. BLISS\nDEAN G. ACHESON, TREASURER\nNATIONAL HEADQUARTERS\nMABEL T. BOARDMAN\nMRS. HENRY P. DAVISON\nMABEL T. BOARDMAN, SECRETARY\nWASHINGTON, D. C.\nWILLIAM FORTUNE\nSAMUEL KNIGHT\nNATIONAL EXECUTIVE OFFICERS\nMAJ. GEN. ROBERT U. PATTERSON\nWILLIAM PHILLIPS\nJOHN BARTON PAYNE. CHAIRMAN\nAugust 29, 1934\nGUSTAVUS D. POPE\nMRS. HENRY R. REA\nJAMES L. FIESER, VICE CHAIRMAN\nREAR ADMIRAL PERCEVAL S. ROSSITER\nERNEST P. BICKNELL. VICE CHAIRMAN\nA.R.C. MAIL ROOM\nGEORGE E. SCOTT\nJAMES K. McCLINTOCK, VICE CHAIRMAN\nHENRY UPSON SIMS\nALFRED E. SMITH\nELIOT WADSWORTH\nSEP 17 1934\nP\nDear Madam:\nKuring\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a list of all enrolled Red Cross Nurses with their latest addresses. We are\nextremely anxious to make a very complete report and ask for your cooperation. Will\nyou kindly answer the following questions and return this form to me, in the enclosed\nenvelope, at the earliest possible date?\nYours sincerely,\nIMPORTANT:\nIn order to render prompt service\nClasa Droges\nin time of disaster, enrolled Red Cross\nNurses should report at once to the\nNational Director,\nSecretary of the Local Committee under\nRed Cross Nursing Service\nwhich they are enrolled. Do not forget\nthe address of the Secretary.\nName in full ALMA E.WRIGLEY\nIf married, give husband's name not\nPermanent address 535 (STREET, E California ETC.) street (CITY) Pasadema (COUNTY) California (STATE)\nProbable address for the next year\nsame\n(STREET, ETC.)\nTelephone No. Wakefield 4457\n(CITY)\n(COUNTY)\n(STATE)\nName and address of nearest relative or friend, in United States, through whom you may\nmin\nneice, miss Ratherine an emergency a. why 253 relationship) Pleasant street, Pasadeur, Califor\nbe communicated with in (State\nnephew., Dr HughT. Wrigley (Executor) 1335 Hunting Park are Philan, Penns\nUnderline the type of work you are now doing: actived from all duty\nArmy Navy - U.S.P.H. Service U.S. Vet. Adminis stration U.S. Indian Service\n-\nPublic Health Inst titutional Private Duty Industrial Offic Nurse - Registrar\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?\nHave you ever been?\nno\nIndicate present physical condition Intercabsular fracture of femur will be\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.?\non Bradford Frame for next 3 member, in pluster from arms to toes. no,\nBadge No. 251\nexcept Secretaries work later on.\nCurrent date august 10, 1934\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."
}