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N
A
u
e
Mr
Form No. 469-(2)
THE AMERICAN RED CROSS
19511
ENROLLMENT FORM
M
W
Voyage number
From
Northwestern Division
To
THE DIVISION OF TRANSPORTATION,
Date
7-21-18
BUREAU OF PERSONNEL.
Approval of Director,
Id
Approved Lucy
Bureau of Personnel
Tibbels, Ursula, Nurse
I. Name
2. Address
5210 - 12th Ave, N.E. Seattle Washington
3. Temporary address, if any
France
4. Going to what countries
5. Nature of work
Nursing, Infant Welfare
6. Suggested rank
7. Length of stay (six months or over?) 1 year or more
8. Proposed approximate date of departure
Booked any 21 Sailed 8-23
9. Cable number in compliance with which above is being sent. Swan Schedule C-N-2.
off
IO. Is appointee volunteer?
No
II. If not volunteer, what salary per month is promised $60.
12. To begin
13. What allowance, if any, for transportation in United States? $ To New York and Treturn
14. What allowance, if any, for transportation (steam ship) ? $. To. destination and return
15. What allowance, if any, for living expenses prior to departure? :00 a day fron date requested
b
16. What allowance, if any, for uniform equipment ? $ to report in N.Y.. to. day of sailing
Requisitioned at New York Office
17. What allowance, if any, for living expenses abroad? $
Yes, regulation allowance
18. Is there to be an assignment of part or all of salary?
19. Has the proper form been sent to the Life Extension Institute?
Division of Transportation,
PLEASE LEAVE THE FOLLOWING LINES BL ANK.
Correspondence checked:
Note
Forms 23
-
Mailed 7/25
Clerk of the W.S. District
Court at Seattle hash.
Application for passport filed
Date
Issued
Reservation
Cancelled
Cabled
Cancelled
5
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Document data
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- 2661059
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"ocrText": "N\nA\nu\ne\nMr\nForm No. 469-(2)\nTHE AMERICAN RED CROSS\n19511\nENROLLMENT FORM\nM\nW\nVoyage number\nFrom\nNorthwestern Division\nTo\nTHE DIVISION OF TRANSPORTATION,\nDate\n7-21-18\nBUREAU OF PERSONNEL.\nApproval of Director,\nId\nApproved Lucy\nBureau of Personnel\nTibbels, Ursula, Nurse\nI. Name\n2. Address\n5210 - 12th Ave, N.E. Seattle Washington\n3. Temporary address, if any\nFrance\n4. Going to what countries\n5. Nature of work\nNursing, Infant Welfare\n6. Suggested rank\n7. Length of stay (six months or over?) 1 year or more\n8. Proposed approximate date of departure\nBooked any 21 Sailed 8-23\n9. Cable number in compliance with which above is being sent. Swan Schedule C-N-2.\noff\nIO. Is appointee volunteer?\nNo\nII. If not volunteer, what salary per month is promised $60.\n12. To begin\n13. What allowance, if any, for transportation in United States? $ To New York and Treturn\n14. What allowance, if any, for transportation (steam ship) ? $. To. destination and return\n15. What allowance, if any, for living expenses prior to departure? :00 a day fron date requested\nb\n16. What allowance, if any, for uniform equipment ? $ to report in N.Y.. to. day of sailing\nRequisitioned at New York Office\n17. What allowance, if any, for living expenses abroad? $\nYes, regulation allowance\n18. Is there to be an assignment of part or all of salary?\n19. Has the proper form been sent to the Life Extension Institute?\nDivision of Transportation,\nPLEASE LEAVE THE FOLLOWING LINES BL ANK.\nCorrespondence checked:\nNote\nForms 23\n-\nMailed 7/25\nClerk of the W.S. District\nCourt at Seattle hash.\nApplication for passport filed\nDate\nIssued\nReservation\nCancelled\nCabled\nCancelled\n5"
}