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A
Midwestern
Branch
Form 843 A
Rev. 3-1-22
PUBLIC HEALTH NURSES RESIGNATION SLIP
Antoinette Ahlschier(Tr.) Itinerant Nurse
Name
409
Enrol. No.
Transferred
from Cherokee County Ch. Jacksonville, Texas.
(Name of Chapter or Service)
(City)
(State)
DATES
Assigned
9/4/28
Salary at resignation
$150
(tp above service)
Resigned
12/22/28
Reason for resignation
Service finished
Transferred
1/2/29
Dismissed
Desirability for future appointment
(This should be accompanied by Form 852)
1
I
-
S
+
0
1
C
1
al
0
-
f
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