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FORM 1045--REV. 2-24-27
NATIONAL OFFICERS
CENTRAL COMMITTEE
HERBERT HOOVER, PRESIDENT
JOHN BARTON PAYNE, CHAIRMAN
ROBERT w. DE FOREST. VICE PRESIDENT
MRS. AUGUST BELMONT
WILLIAM HOWARD TAFT. VICE PRESIDENT
THE AMERICAN RED CROSS
CORNELIUS N. BLISS
MABEL T. BOARDMAN
WILLIAM D. MITCHELL, COUNSELOR
J. REUBEN CLARK, JR.
OGDEN L. MILLS, TREASURER
NATIONAL HEADQUARTERS
MRS. HENRY P. DAVISON
MABEL T. BOARDMAN, SECRETARY
E. B. DOUGLAS
3
WASHINGTON, D.C.
MRS. FRANK v. HAMMAR
MAJ. GEN. M. w. IRELAND
NATIONAL EXECUTIVE OFFICERS
SAMUEL KNIGHT
1930
OGDEN L. MILLS
JOHN BARTON PAYNE, CHAIRMAN
WILLIAM D. MITCHELL
5
GUSTAVUS D. POPE
JAMES L. FIESER, VICE CHAIRMAN
MRS. HENRY R. REA
ERNEST P. BICKNELL, VICE CHAIRMAN
REAR ADMIRAL CHARLES E. RIGGS
JOHN D. RYAN
5
GEORGE E, SCOTT
Miss Minnie M. Bethune,
365 Gross Street,
e
Pittsburgh, Pennsylvania.
M
Dear Madam:
at
The National Committee on Red Cross Nursing Service requires us to submit,
annually, a list of all the Red Cross Nurses enrolled with our Committee, with their
+
latest addresses. We are extremely anxious to make a very complete report to National
Headquarters and ask for your cooperation. Please answer the following questions and
return this form to me, in the enclosed envelope, at the earliest possible date.
IMPORTANT:
In order to render prompt service
Yours sincerely,
in time of disaster, enrolled Red Cross
T- Elna Suitten
Ghairman or
nurses should report at once to the
Secretary.
Secretary of the Local Committee under
Pittshurgh
which they are enrolled. Do not forget
Local Committee.
the address of the Secretary.
Name
in full Minarie Marilia Behamm
If married, give husband's name
Permanent address
Probable address for the next year
217 V.Williate Same and Pillshigh fa
Telephone No Highland 8463
Name and address Of nearest relative or friend, in United States, through whom you may
be commanicated with in an emergency. (State relationship)
Underline of
you are now doing:
Markey
the type Gruin work 2174. Willials are Pittsburg pg
- Army - Navy - U.S.P.H. Hospital - U.S.Vet. Hospital - Public
Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.
Are instructor Hygiene 4/0
you an of Red Cross classes in Home and Care of the Sick?
Have you ever been? you
Indicate present physical condition Hair
Would you respond to an emergency call in event of epidemic, disaster, war, etc. ? 4/0
Badge No 22236
Current date 1-31-30
NOTE.--- - If the nurse does not complete and return this questionnaire, and can not be
located within two years, her enrollment will be annulled.
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"ocrText": "title\n10\nit's\n+\nFORM 1045--REV. 2-24-27\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nHERBERT HOOVER, PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nROBERT w. DE FOREST. VICE PRESIDENT\nMRS. AUGUST BELMONT\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nTHE AMERICAN RED CROSS\nCORNELIUS N. BLISS\nMABEL T. BOARDMAN\nWILLIAM D. MITCHELL, COUNSELOR\nJ. REUBEN CLARK, JR.\nOGDEN L. MILLS, TREASURER\nNATIONAL HEADQUARTERS\nMRS. HENRY P. DAVISON\nMABEL T. BOARDMAN, SECRETARY\nE. B. DOUGLAS\n3\nWASHINGTON, D.C.\nMRS. FRANK v. HAMMAR\nMAJ. GEN. M. w. IRELAND\nNATIONAL EXECUTIVE OFFICERS\nSAMUEL KNIGHT\n1930\nOGDEN L. MILLS\nJOHN BARTON PAYNE, CHAIRMAN\nWILLIAM D. MITCHELL\n5\nGUSTAVUS D. POPE\nJAMES L. FIESER, VICE CHAIRMAN\nMRS. HENRY R. REA\nERNEST P. BICKNELL, VICE CHAIRMAN\nREAR ADMIRAL CHARLES E. RIGGS\nJOHN D. RYAN\n5\nGEORGE E, SCOTT\nMiss Minnie M. Bethune,\n365 Gross Street,\ne\nPittsburgh, Pennsylvania.\nM\nDear Madam:\nat\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a list of all the Red Cross Nurses enrolled with our Committee, with their\n+\nlatest addresses. We are extremely anxious to make a very complete report to National\nHeadquarters and ask for your cooperation. Please answer the following questions and\nreturn this form to me, in the enclosed envelope, at the earliest possible date.\nIMPORTANT:\nIn order to render prompt service\nYours sincerely,\nin time of disaster, enrolled Red Cross\nT- Elna Suitten\nGhairman or\nnurses should report at once to the\nSecretary.\nSecretary of the Local Committee under\nPittshurgh\nwhich they are enrolled. Do not forget\nLocal Committee.\nthe address of the Secretary.\nName\nin full Minarie Marilia Behamm\nIf married, give husband's name\nPermanent address\nProbable address for the next year\n217 V.Williate Same and Pillshigh fa\nTelephone No Highland 8463\nName and address Of nearest relative or friend, in United States, through whom you may\nbe commanicated with in an emergency. (State relationship)\nUnderline of\nyou are now doing:\nMarkey\nthe type Gruin work 2174. Willials are Pittsburg pg\n- Army - Navy - U.S.P.H. Hospital - U.S.Vet. Hospital - Public\nHealth - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nAre instructor Hygiene 4/0\nyou an of Red Cross classes in Home and Care of the Sick?\nHave you ever been? you\nIndicate present physical condition Hair\nWould you respond to an emergency call in event of epidemic, disaster, war, etc. ? 4/0\nBadge No 22236\nCurrent date 1-31-30\nNOTE.--- - If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled."
}