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Commins, Mary Petronilla

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FORM 1045 REV. 4-4-38 THE AMERICAN RED CROSS NATIONAL HEADQUARTERS WASHINGTON, D. c. M march 1, 1940 an Dear Red Cross Nurse: 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 QUESTIONNAIRE IS FILED WITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec- ognize 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, in time of disaster, enrolled Red Cross Chairman or Nurses should report at once to the Secretary of the Local Committee under many Ja Beady Secretary. which they are enrolled. Do not forget the address of the Secretary. together, 214 Kanse Local Committee. Broadmoon, Name in full Commins mary Petronilla If married, give husband's name Permanent address 812W.3rd Abiline Dickinim Co Kansas (STREET, ETC.) (CITY) (COUNTY) (STATE) Probable address for the next year Abilene Kanna (STREET, ETC.) Telephone No. 477 Abilene Dicknon Co Kansas (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) Dr. T. Frank Commins 776 Broadway, Smith Boom mass Underline the type of work you are now doing: Army - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service - Public Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar. Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? yes Have you ever been? Would like to teach Red Cross you classes? yes Indicate present physical condition good Would you respond to an emergency call in event of epidemic, disaster, war, etc.' yes Badge No. 69,426 Current date 4-12-40 I NOTE.-- the nurse does not complete and return this questionnaire, and can not be 2 located within two years, her enrolment will be removed from our active files. 6

Page data

Page
40
Source index
0
Type
photo
Media ID
956b3010e9825694
Size
unknown

Document data

ID
2661265
Core
doc
Type
document
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Context sent to Scholar

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Page context 
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    "ocrText": "FORM 1045\nREV. 4-4-38\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D. c.\nM\nmarch 1, 1940\nan\nDear Red Cross Nurse:\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 QUESTIONNAIRE IS FILED\nWITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-\nognize 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,\nin time of disaster, enrolled Red Cross\nChairman or\nNurses should report at once to the\nSecretary of the Local Committee under\nmany Ja Beady Secretary.\nwhich they are enrolled. Do not forget\nthe address of the Secretary.\ntogether, 214 Kanse Local Committee.\nBroadmoon,\nName in full\nCommins mary Petronilla\nIf married, give husband's name\nPermanent address\n812W.3rd Abiline Dickinim Co Kansas\n(STREET, ETC.)\n(CITY)\n(COUNTY)\n(STATE)\nProbable address for the next year\nAbilene Kanna\n(STREET, ETC.)\nTelephone No.\n477\nAbilene Dicknon Co Kansas\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)\nDr. T. Frank Commins 776 Broadway, Smith Boom mass\nUnderline the type of work you are now doing:\nArmy - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service -\nPublic Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? yes\nHave you ever been?\nWould like to teach Red Cross\nyou classes? yes\nIndicate present physical condition\ngood\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.' yes\nBadge No. 69,426\nCurrent date\n4-12-40\nI\nNOTE.-- the nurse does not complete and return this questionnaire, and can not be\n2\nlocated within two years, her enrolment will be removed from our active files.\n6"
}