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B
a
K
M
FORM 1045-B
THE AMERICAN RED CROSS
NATIONAL HEADQUARTERS
WASHINGTON, D.C.
arie
a
e
JAN 131937
A.R. C. MA I PCOM
RECEIVCO
FFR 8 1937
Referred To
Dear Madam:
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,
Ida 7. Butter
National Director,
Red Cross Nursing Service
Name in full marie There Baker
If married, give husband's name Dr. go. Baker
Permanent address
16 Lewarkhaud Elmonton alta
Probable address for the next year
some
Canada
Name and address of nearest relative or friend, in United States, through whom you may
be communicated with in (State
an emergency. relationship) 31.7 Hest 45 ST
miss m. J In labe new your beby my
Indicate the type of work
Cut home
you are now doing:
Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no
Have you ever been?
yes
Good
Indicate present physical condition
Would you respond to an emergency call in event of epidemic, disaster, war, etc. ? yes
W
Badge No.
15533
Current date Hef 3-1937
3
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": "B\na\nK\nM\nFORM 1045-B\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D.C.\narie\na\ne\nJAN 131937\nA.R. C. MA I PCOM\nRECEIVCO\nFFR 8 1937\nReferred To\nDear Madam:\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,\nIda 7. Butter\nNational Director,\nRed Cross Nursing Service\nName in full marie There Baker\nIf married, give husband's name Dr. go. Baker\nPermanent address\n16 Lewarkhaud Elmonton alta\nProbable address for the next year\nsome\nCanada\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in (State\nan emergency. relationship) 31.7 Hest 45 ST\nmiss m. J In labe new your beby my\nIndicate the type of work\nCut home\nyou are now doing:\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no\nHave you ever been?\nyes\nGood\nIndicate present physical condition\nWould you respond to an emergency call in event of epidemic, disaster, war, etc. ? yes\nW\nBadge No.\n15533\nCurrent date Hef 3-1937\n3\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."
}