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Form 1045
/
Feb. 26. 1924
J
Dear Madam:
Chicago
We have had great difficulty in getting the correct addresses of enrolled Red
Cross nurses in our territory. We know that you are very busy, but the National
Committee requires us to submit, annually, a complete list of all the nurses
enrolled with our Committee, with thoir latest addresses.
I
Will you kindly answer the following questions and return this form to me in the
enclosed envelop at the earliest possible date.
Yours sincerely,
Eelen Secretary,
for Chicago,
Local Committee,
2ee
Maiden
Name in full Jessica Jean Bradley
Married Name
in full
Permanent Address
Port Lavaca. Texas
Tele. No Buckingham 0828
Probable address for the next year:
647 Buckingham Place + chicago,201
Name and address of nearest relative:
Brother mr games Bradley mich
Underline the type of work you are doing: Army - Navy - Institutional -
-
U.S.P.H. Hospital - U.S.Vet. Hospital - Public Health - Private duty - Industrial
Would you. respond to an emergency call in case of epidemic, disaster, war, etc.
Badge No. 13498
Date
3/26/24
W
NOTE: If the nurse does not complete and return this questionnaire and cannot be
located within two years, her enrollment will be annulled.
9
C58
8
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"ocrText": "B\nT\nad\nForm 1045\n/\nFeb. 26. 1924\nJ\nDear Madam:\nChicago\nWe have had great difficulty in getting the correct addresses of enrolled Red\nCross nurses in our territory. We know that you are very busy, but the National\nCommittee requires us to submit, annually, a complete list of all the nurses\nenrolled with our Committee, with thoir latest addresses.\nI\nWill you kindly answer the following questions and return this form to me in the\nenclosed envelop at the earliest possible date.\nYours sincerely,\nEelen Secretary,\nfor Chicago,\nLocal Committee,\n2ee\nMaiden\nName in full Jessica Jean Bradley\nMarried Name\nin full\nPermanent Address\nPort Lavaca. Texas\nTele. No Buckingham 0828\nProbable address for the next year:\n647 Buckingham Place + chicago,201\nName and address of nearest relative:\nBrother mr games Bradley mich\nUnderline the type of work you are doing: Army - Navy - Institutional -\n-\nU.S.P.H. Hospital - U.S.Vet. Hospital - Public Health - Private duty - Industrial\nWould you. respond to an emergency call in case of epidemic, disaster, war, etc.\nBadge No. 13498\nDate\n3/26/24\nW\nNOTE: If the nurse does not complete and return this questionnaire and cannot be\nlocated within two years, her enrollment will be annulled.\n9\nC58\n8"
}