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4
ATLANTIC DIVISION
FE 28
1.
Name (Zrances sacket QUESTIONNAIRE. Country
@ 9
1
a
2.
Address - Temporary
418 So Broad slid Philsdelphia,
(4:1)
S
Permenent Capse Suiced gatz Co. us.y.
C
3. Red Cross Badge Number 15-681
es
4.
Date of appointment to service July 23rd 1917-
5.
Date of discharge from service Transfered to-near East Relief
6.
al- marash, asia senior July 1st 1919
S
Service with Army
"
"
Navy
"
"
Red Cross
July 23 eb 1919
a
"
"
United States Public Health Service Sanitary Zone
p
"
se
Emergency, Influenza Epidemic, Disaster etc.
K
7. Condition of health on discharge. bood
e
+
8.
Condition of health at present time. Good
9.
Approximate date of illness if any and where.
10. Have you notified the Veterans Bureau or the Red Cross
Nursing Service?
Ll. Are you drawing compensation from the Veterans Buresu?
Date granted.
Number.
Hospital zation if any.
Name and address of doctor by whom examined.
12. Remarks: From the find -of July 1919 mill f thi-slevend
of aug. 1920 I continued chiwork (started by the
american Red Goss in turbey) under The Dear Earl-Belief.
13. Vocational Training.
Number
Where
What kind.
Length of course
&
14. Remarks:
15. Are you drawing Insurance from the American Red Cross?
no 1
Date granted.
16. Present Occupation . Speaker for The near Egglife
8
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- document
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"ocrText": "4\nATLANTIC DIVISION\nFE 28\n1.\nName (Zrances sacket QUESTIONNAIRE. Country\n@ 9\n1\na\n2.\nAddress - Temporary\n418 So Broad slid Philsdelphia,\n(4:1)\nS\nPermenent Capse Suiced gatz Co. us.y.\nC\n3. Red Cross Badge Number 15-681\nes\n4.\nDate of appointment to service July 23rd 1917-\n5.\nDate of discharge from service Transfered to-near East Relief\n6.\nal- marash, asia senior July 1st 1919\nS\nService with Army\n\"\n\"\nNavy\n\"\n\"\nRed Cross\nJuly 23 eb 1919\na\n\"\n\"\nUnited States Public Health Service Sanitary Zone\np\n\"\nse\nEmergency, Influenza Epidemic, Disaster etc.\nK\n7. Condition of health on discharge. bood\ne\n+\n8.\nCondition of health at present time. Good\n9.\nApproximate date of illness if any and where.\n10. Have you notified the Veterans Bureau or the Red Cross\nNursing Service?\nLl. Are you drawing compensation from the Veterans Buresu?\nDate granted.\nNumber.\nHospital zation if any.\nName and address of doctor by whom examined.\n12. Remarks: From the find -of July 1919 mill f thi-slevend\nof aug. 1920 I continued chiwork (started by the\namerican Red Goss in turbey) under The Dear Earl-Belief.\n13. Vocational Training.\nNumber\nWhere\nWhat kind.\nLength of course\n&\n14. Remarks:\n15. Are you drawing Insurance from the American Red Cross?\nno 1\nDate granted.\n16. Present Occupation . Speaker for The near Egglife\n8"
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