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Form 469 (4a)
THE AMERICAN RED CROSS
RECORD OF TRANSPORTATION OR ENDORSEMENT OF PASSPORT
APPROVED:
Acting Ice Chairess
The Embarkation Office,
From
Foreign Operations.
Department of Personnel.
Date
June 24, 1926.
Alxxxxxxxx
Approved Clara Whold
Director-Hursing Service.
1.
Name Agess H. von Euroweky
2. Address
1819 G Street, E. W.-Washington, D.C.
3. Temporary address
4. Name and address of next of kin or person to be notified in emergency Nother - Mrs.P.Vonilurowaky,
1819 0 Street,
5. Purpose of trip or nature of work
Bursing Staff-General Hospital-Haiti
6. Going to what countries
Halti
7. Length of stay
One Year
8. Proposed approximate date of departure July 14,1926 Booked
Sailed 7/14/26
9. Request or cable number in compliance with which above is being sent
Letter
R.C.to be reimbursed
10. Is Red Cross to secure S.S. transportation?
YES
If so is Red Cross to pay?
by Haitian Gov. for
Expenses on this
Sheet.
11. Is Red Cross to pay transportation in U.S.? Washington, to New York
.
12. Is Red Cross to pay living expenses prior to departure?
Dae Day in How York
To be paid by Haitian Govt.
13. What salary per month is promised?
$110.00 Per.Mo.
14. To begin
July 13,1926.
15. Is Red Cross to pay any salary prior to departure? No
16. Is there an assignment of part or all of salary?
No
17. What reimbursement, if any, is to be made American Red Cross for expenditures made under items
10 and 15 inclusive?
Red Cross to be reimbursed by Haitian Government for Expenses
on this Sheet. - Items 10-12.
APPOINTEE'S SIGNATURE
(To be affixed in embarkation office before sailing)
I have carefully noted the above and found it correct.
(Signed) Agua H oon Kurowrite
A/A aucon
Document source description
This item is a form regarding Agnes von Kurowsky's transfer to Haiti.
Page data
- Page
- 2
- Source index
- 0
- Type
- document
- Media ID
- 5c03cb4709121911
- Size
- unknown
Document data
- ID
- 6706164
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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"ocrText": "Form 469 (4a)\nTHE AMERICAN RED CROSS\nRECORD OF TRANSPORTATION OR ENDORSEMENT OF PASSPORT\nAPPROVED:\nActing Ice Chairess\nThe Embarkation Office,\nFrom\nForeign Operations.\nDepartment of Personnel.\nDate\nJune 24, 1926.\nAlxxxxxxxx\nApproved Clara Whold\nDirector-Hursing Service.\n1.\nName Agess H. von Euroweky\n2. Address\n1819 G Street, E. W.-Washington, D.C.\n3. Temporary address\n4. Name and address of next of kin or person to be notified in emergency Nother - Mrs.P.Vonilurowaky,\n1819 0 Street,\n5. Purpose of trip or nature of work\nBursing Staff-General Hospital-Haiti\n6. Going to what countries\nHalti\n7. Length of stay\nOne Year\n8. Proposed approximate date of departure July 14,1926 Booked\nSailed 7/14/26\n9. Request or cable number in compliance with which above is being sent\nLetter\nR.C.to be reimbursed\n10. Is Red Cross to secure S.S. transportation?\nYES\nIf so is Red Cross to pay?\nby Haitian Gov. for\nExpenses on this\nSheet.\n11. Is Red Cross to pay transportation in U.S.? Washington, to New York\n.\n12. Is Red Cross to pay living expenses prior to departure?\nDae Day in How York\nTo be paid by Haitian Govt.\n13. What salary per month is promised?\n$110.00 Per.Mo.\n14. To begin\nJuly 13,1926.\n15. Is Red Cross to pay any salary prior to departure? No\n16. Is there an assignment of part or all of salary?\nNo\n17. What reimbursement, if any, is to be made American Red Cross for expenditures made under items\n10 and 15 inclusive?\nRed Cross to be reimbursed by Haitian Government for Expenses\non this Sheet. - Items 10-12.\nAPPOINTEE'S SIGNATURE\n(To be affixed in embarkation office before sailing)\nI have carefully noted the above and found it correct.\n(Signed) Agua H oon Kurowrite\nA/A aucon"
}