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FORM 1045-B
REV. 12-3-37
THE AMERICAN RED CROSS
M
NATIONAL HEADQUARTERS
7
WASHINGTON, D. c.
rs.
F
JAN 1 2 1938
L
0
T
O
-
Dear Red Cross Nurse:
a
C
The National Committee on Red Cross Nursing Service requires us to submit,
e
annually, a list of all enrolled Red Cross Nurses with their latest addresses. We are
1
extremely anxious to make a very complete report and ask for your cooperation. Will
envelope, at the earliest possible date?
Yours sincerely,
yours
/
you kindly answer the following questions and return this form to me, in the enclosed
Ida 7. Butter
5
9
National Director,
Red Cross Nursing Service
Name in
full Florence Viola young
If married, give husband's name
Permanent address 1135 Screenland Drive, Burbank, California
Probable address for the next year 1320 york are, new york City, n.y
(the above address until Oct let)
Name and address of nearest relative or friend, in United States, through whom you may
be communicated with in an emergency (State relationship)
mother
Mr. Lawrence youngh 1608 Calwaga Blody Hollywood, California
Indicate the type of work
you are now doing:
staff mursing at the New York Hospital
Vacation relief work until Act lot- these returning to Calif.
Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?
No
Have you ever been?
No
Indicate present physical condition good
Would you respond emergency epidemic, disaster, etc. ? yes
to an call in event of war,
a
Badge No. 62, 226
Current date
give 29, 1938
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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Document data
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"ocrText": "to\nFORM 1045-B\nREV. 12-3-37\nTHE AMERICAN RED CROSS\nM\nNATIONAL HEADQUARTERS\n7\nWASHINGTON, D. c.\nrs.\nF\nJAN 1 2 1938\nL\n0\nT\nO\n-\nDear Red Cross Nurse:\na\nC\nThe National Committee on Red Cross Nursing Service requires us to submit,\ne\nannually, a list of all enrolled Red Cross Nurses with their latest addresses. We are\n1\nextremely anxious to make a very complete report and ask for your cooperation. Will\nenvelope, at the earliest possible date?\nYours sincerely,\nyours\n/\nyou kindly answer the following questions and return this form to me, in the enclosed\nIda 7. Butter\n5\n9\nNational Director,\nRed Cross Nursing Service\nName in\nfull Florence Viola young\nIf married, give husband's name\nPermanent address 1135 Screenland Drive, Burbank, California\nProbable address for the next year 1320 york are, new york City, n.y\n(the above address until Oct let)\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency (State relationship)\nmother\nMr. Lawrence youngh 1608 Calwaga Blody Hollywood, California\nIndicate the type of work\nyou are now doing:\nstaff mursing at the New York Hospital\nVacation relief work until Act lot- these returning to Calif.\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?\nNo\nHave you ever been?\nNo\nIndicate present physical condition good\nWould you respond emergency epidemic, disaster, etc. ? yes\nto an call in event of war,\na\nBadge No. 62, 226\nCurrent date\ngive 29, 1938\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."
}