Ask the Scholar
Page 21 of 81
I can add historical knowledge about this page.
Page image
OCR
FORM 1045
REV. 1-2-35
THE AMERICAN RED CROSS
NATIONAL HEADQUARTERS
Mr.
WASHINGTON, D.C.
of
11 QUESTIONNAIRES
Dear Madam:
4
-
- 11-12-45
The National Committee on Red Cross Nursing Service requires us to submit,
annually, a report of all the Red Cross Nurses enrolled with our Committee. Will you
therefore, please answer the following questions and return this form to me, in the
enclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONAIRE IS FILED
J.
WITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-
oganize the value of filing this information and will return the questionnaire promptly,
as we are extremely anxious to make a very complete report to National Headquarters.
IMPORTANT:
In order to render prompt service
Yours sincerely,
Chairman or
in time of disaster, enrolled Red Cross
r. ELNA SMITTEN;
Secretary
Nurses should report at once to the
Secretary of the Local Committee under
Secretary Local Committee
which they are enrolled. Do not forget
RED CROSS NURSING. SERVICE
Local Committee
519 Smithfield St.
the address of the Secretary.
PITTSBURGH. PA.
Name in full
Bierer Beitha (mangh)
If married, give husband's name Januar D Bierer
Permanent address
(STREET, Everett ETC.) (CITY) Bedford (COUNTY) Co.
Pa
(STATE)
Probable address for next year
Telephone No. Fr 0363
177 La Cross (STREET, St. ETC.) Edgement Pa
(CITY)
(COUNTY)
(STATE)
Name and address of nearest relative or friend, in United States, through whom you may
be communicated with in an emergency. (State relationship)
Under
James line the type of D work you Bierer are now doing: a Hustared
Army - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service -
Public Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar. none
Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? us
Have you ever been? no
Indicate present physical condition
Good
Would you respond to an emergency call in event of epidemic, disaster, war, etc. ? yes
Badge No. 22814
Current date
Jun 17-1936
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.
Page data
- Page
- 21
- Source index
- 0
- Type
- photo
- Media ID
- 460d74ac715b21cd
- Size
- unknown
Document data
- ID
- 2661114
- Core
- doc
- Type
- document
DTO data
{
"id": "2661114",
"sourceUrl": "https://catalog.archives.gov/id/2661114",
"contentType": "document",
"title": "Bierer, Mrs. Bertha (J.D.) nee Bertha Maugles",
"citationUrl": "https://catalog.archives.gov/id/2661114",
"collections": [
"Records of the American National Red Cross",
"Historical Nurse Files"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00067/40033_1521003240_0545/40033_1521003240_0545-00532.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00067/40033_1521003240_0545/40033_1521003240_0545-00532.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00067/40033_1521003240_0545/40033_1521003240_0545-00532.jpg",
"imageCount": 81,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Context sent to Scholar
Document identity
{
"localId": "2661114",
"label": "Bierer, Mrs. Bertha (J.D.) nee Bertha Maugles",
"core": "doc",
"dtoType": "document",
"citationUrl": "https://catalog.archives.gov/id/2661114"
}
Document source metadata
{
"id": "2661114",
"sourceUrl": "https://catalog.archives.gov/id/2661114",
"contentType": "document",
"title": "Bierer, Mrs. Bertha (J.D.) nee Bertha Maugles",
"citationUrl": "https://catalog.archives.gov/id/2661114",
"collections": [
"Records of the American National Red Cross",
"Historical Nurse Files"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00067/40033_1521003240_0545/40033_1521003240_0545-00532.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00067/40033_1521003240_0545/40033_1521003240_0545-00532.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00067/40033_1521003240_0545/40033_1521003240_0545-00532.jpg",
"imageCount": 81,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Document source extras
{
"url": "https://catalog.archives.gov/id/2661114",
"naId": 2661114,
"coverageEndDate": {
"day": 12,
"logicalDate": "1945-11-12",
"month": 11,
"year": 1945
},
"coverageStartDate": {
"day": 28,
"logicalDate": "1918-06-28",
"month": 6,
"year": 1918
},
"levelOfDescription": "fileUnit",
"recordType": "description",
"ocrSource": "nara-archive"
}
Page context
{
"seq": 21,
"pageIndex": 0,
"type": "photo",
"url": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00067/40033_1521003240_0545/40033_1521003240_0545-00552.jpg",
"mediaId": "460d74ac715b21cd",
"ocrText": "FORM 1045\nREV. 1-2-35\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nMr.\nWASHINGTON, D.C.\nof\n11 QUESTIONNAIRES\nDear Madam:\n4\n-\n- 11-12-45\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a report of all the Red Cross Nurses enrolled with our Committee. Will you\ntherefore, please answer the following questions and return this form to me, in the\nenclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONAIRE IS FILED\nJ.\nWITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-\noganize the value of filing this information and will return the questionnaire promptly,\nas we are extremely anxious to make a very complete report to National Headquarters.\nIMPORTANT:\nIn order to render prompt service\nYours sincerely,\nChairman or\nin time of disaster, enrolled Red Cross\nr. ELNA SMITTEN;\nSecretary\nNurses should report at once to the\nSecretary of the Local Committee under\nSecretary Local Committee\nwhich they are enrolled. Do not forget\nRED CROSS NURSING. SERVICE\nLocal Committee\n519 Smithfield St.\nthe address of the Secretary.\nPITTSBURGH. PA.\nName in full\nBierer Beitha (mangh)\nIf married, give husband's name Januar D Bierer\nPermanent address\n(STREET, Everett ETC.) (CITY) Bedford (COUNTY) Co.\nPa\n(STATE)\nProbable address for next year\nTelephone No. Fr 0363\n177 La Cross (STREET, St. ETC.) Edgement Pa\n(CITY)\n(COUNTY)\n(STATE)\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nUnder\nJames line the type of D work you Bierer are now doing: a Hustared\nArmy - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service -\nPublic Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar. none\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? us\nHave you ever been? no\nIndicate present physical condition\nGood\nWould you respond to an emergency call in event of epidemic, disaster, war, etc. ? yes\nBadge No. 22814\nCurrent date\nJun 17-1936\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."
}