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eth
e
5
real,
Form No. 469-(2)
sinc
THE AMERICAN RED CROSS
M
ENROLLMENT FORM
SAN FRANGISCO
a
Voyage number
Potomac
To
THE DIVISION OF TRANSPORTATION,
BUREAU OF PERSONNEL.
From Nursing Division EMBARKATION
I
Date
pril -25,-1919.
Approval of Director,
Approved Elebsih Garphan
Bureau of Personnel
1. Name Bethel, Mary H.
(Nurse)
2. Address
Cape May Court House, Cape May N. J.
3. Temporary address, if any
ick Quartors, Marine Barracks, Quantico, Va.
4. Going to what countries
Siberia
5. Nature of work
Red Cross-Nurse
6. Suggested rank
7. Length of stay (six months or over?) 1 year or more
8. Proposed approximate date of departure
Booked
Sailed 6/11/19
9. Cable number in compliance with which above is being sent
Siber ian- Cabl la
#55
10. Is appointee volunteer
Ne
11. If not volunteer, what salary per month is promised? $70.00
12. To begin day of departure for
San Francisco
13. What allowance, if any, for transportation in United States?
return
14. What allowance, if any, for transportation (steamship) ? $ destination and return
15. What allowance, if any, for living expenses prior to departure? $4.00 day from date requested to re-
port in San Francisco to day of sailing.
16. What allowance, if any, for uniform equipment? $ Requisi tioned in New York.
17. What allowance, if any, for living expenses abroad ? $
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 BLANK.
Correspondence checked
Note
Forms
Mailed
Clerk of the
Court at
Application for passport filed
Date
Issued
Reservation
Cancelled
Cabled
Cancelled
5
Date of birth - January 21, 1890.
Page data
- Page
- 138
- Source index
- 0
- Type
- photo
- Media ID
- 89a632ef8b8d52f3
- Size
- unknown
Document data
- ID
- 2661110
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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Document source extras
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Page context
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"ocrText": "to\neth\ne\n5\nreal,\nForm No. 469-(2)\nsinc\nTHE AMERICAN RED CROSS\nM\nENROLLMENT FORM\nSAN FRANGISCO\na\nVoyage number\nPotomac\nTo\nTHE DIVISION OF TRANSPORTATION,\nBUREAU OF PERSONNEL.\nFrom Nursing Division EMBARKATION\nI\nDate\npril -25,-1919.\nApproval of Director,\nApproved Elebsih Garphan\nBureau of Personnel\n1. Name Bethel, Mary H.\n(Nurse)\n2. Address\nCape May Court House, Cape May N. J.\n3. Temporary address, if any\nick Quartors, Marine Barracks, Quantico, Va.\n4. Going to what countries\nSiberia\n5. Nature of work\nRed Cross-Nurse\n6. Suggested rank\n7. Length of stay (six months or over?) 1 year or more\n8. Proposed approximate date of departure\nBooked\nSailed 6/11/19\n9. Cable number in compliance with which above is being sent\nSiber ian- Cabl la\n#55\n10. Is appointee volunteer\nNe\n11. If not volunteer, what salary per month is promised? $70.00\n12. To begin day of departure for\nSan Francisco\n13. What allowance, if any, for transportation in United States?\nreturn\n14. What allowance, if any, for transportation (steamship) ? $ destination and return\n15. What allowance, if any, for living expenses prior to departure? $4.00 day from date requested to re-\nport in San Francisco to day of sailing.\n16. What allowance, if any, for uniform equipment? $ Requisi tioned in New York.\n17. What allowance, if any, for living expenses abroad ? $\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 BLANK.\nCorrespondence checked\nNote\nForms\nMailed\nClerk of the\nCourt at\nApplication for passport filed\nDate\nIssued\nReservation\nCancelled\nCabled\nCancelled\n5\nDate of birth - January 21, 1890."
}