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FORM 1045 REV. 2-16-31 a NATIONAL OFFICERS CENTRAL COMMITTEE HERBERT HOOVER, PRESIDENT JOHN BARTON PAYNE, CHAIRMAN ROBERT w. DE FOREST. VICE PRESIDENT MRS. AUGUST BELMONT CALVIN COOLIDGE, VICE PRESIDENT THE AMERICAN RED CROSS CORNELIUS N. BLISS MABEL T. BOARDMAN CHARLES EVANS HUGHES, Vice PRESIDENT JOSEPH P. COTTON D THOMAS D. THACHER, COUNSELOR NATIONAL HEADQUARTERS MRS. HENRY P. DAVISON MRS. FRANK v. HAMMAR OGDEN L. MILLS, TREASURER WASHINGTON, D.C. MAJ. GEN. M. w. IRELAND - MABEL T. BOARDMAN. SECRETARY SAMUEL KNIGHT OGDEN L. MILLS GUSTAVUS D. POPE NATIONAL EXECUTIVE OFFICERS MRS. HENRY R. REA REAR ADMIRAL CHARLES E. RIGGS JOHN BARTON PAYNE, CHAIRMAN JOHN D. RYAN JAMES L. FIESER, VICE CHAIRMAN GEORGE E. SCOTT ERNEST P. BICKNELL, VICE CHAIRMAN HENRY UPSON SIMS THOMAS D. THACHER JAMES K. McCLINTOCK, VICE CHAIRMAN SLIOT WADSWORTH 3/14/91 P. Dear Madam: The National Committee on Red Cross Nursing Service requires us to submit, annually, a list of all the Red Cross Nurses enrolled with our Committee, with their latest addresses. We are extremely anxious to make a very complete report to National Headquarters and ask for your cooperation. Please answer the following questions and return this form to me, in enclosed envelope, at the earliest possible date. IMPORTANT: In order to render prompt service Yours sincerely in time of disaster, enrolled Red Cross Nurses should report at once to the learnlyn, Schmoken Chairman Secretary. or Secretary of the Local Committee under which they are enrolled. Do not forget Besty Hospital Local Committee the address of the Secretary. Name in full miss Glice B. P. Conover nework n.g. If married, give husband's name Permanent address 7 Hillside STREET, ETC. are Summit CITY Union COUNTY STATE Probable address for the next year > Hellide ave STREET, ETC. Telephone No. 6-005.5W Summit Union CITY COUNTY higo. /STATE Name and address of nearest rolative or friend, in United States, through whom you may be communicated with in an emergency. (State relationship) Underline Brother the Reo type of T.a. work Conover Bernarderile hig you are now doing: Army - Navy - U.S.P.H. Hospital - U.S. Vet. Hospital - U.S. Indian Service - Public Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar. none retered Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? ho Have you ever boon? no Indicate present physical condition scottorood (66 in buaz Would you respond to an emergency call in event of epidemic, disaster, war, etc.? Hfosible Badge No. 12319 Current date march 17th 1931 NOTE. -- If the nurse does not complete and return this questionnaire, and can not be located within two years, her enrolment will be annulled.

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    "ocrText": "FORM 1045 REV. 2-16-31\na\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nHERBERT HOOVER, PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nROBERT w. DE FOREST. VICE PRESIDENT\nMRS. AUGUST BELMONT\nCALVIN COOLIDGE, VICE PRESIDENT\nTHE AMERICAN RED CROSS\nCORNELIUS N. BLISS\nMABEL T. BOARDMAN\nCHARLES EVANS HUGHES, Vice PRESIDENT\nJOSEPH P. COTTON\nD\nTHOMAS D. THACHER, COUNSELOR\nNATIONAL HEADQUARTERS\nMRS. HENRY P. DAVISON\nMRS. FRANK v. HAMMAR\nOGDEN L. MILLS, TREASURER\nWASHINGTON, D.C.\nMAJ. GEN. M. w. IRELAND\n-\nMABEL T. BOARDMAN. SECRETARY\nSAMUEL KNIGHT\nOGDEN L. MILLS\nGUSTAVUS D. POPE\nNATIONAL EXECUTIVE OFFICERS\nMRS. HENRY R. REA\nREAR ADMIRAL CHARLES E. RIGGS\nJOHN BARTON PAYNE, CHAIRMAN\nJOHN D. RYAN\nJAMES L. FIESER, VICE CHAIRMAN\nGEORGE E. SCOTT\nERNEST P. BICKNELL, VICE CHAIRMAN\nHENRY UPSON SIMS\nTHOMAS D. THACHER\nJAMES K. McCLINTOCK, VICE CHAIRMAN\nSLIOT WADSWORTH\n3/14/91\nP.\nDear Madam:\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a list of all the Red Cross Nurses enrolled with our Committee, with their\nlatest addresses. We are extremely anxious to make a very complete report to National\nHeadquarters and ask for your cooperation. Please answer the following questions and\nreturn this form to me, in enclosed envelope, at the earliest possible date.\nIMPORTANT:\nIn order to render prompt service\nYours sincerely\nin time of disaster, enrolled Red Cross\nNurses should report at once to the\nlearnlyn, Schmoken Chairman Secretary.\nor\nSecretary of the Local Committee under\nwhich they are enrolled. Do not forget\nBesty Hospital Local Committee\nthe address of the Secretary.\nName in full miss Glice B. P. Conover\nnework n.g.\nIf married, give husband's name\nPermanent address 7 Hillside STREET, ETC. are Summit CITY Union COUNTY STATE\nProbable address for the next year\n> Hellide ave\nSTREET, ETC.\nTelephone No. 6-005.5W\nSummit\nUnion\nCITY\nCOUNTY\nhigo. /STATE\nName and address of nearest rolative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nUnderline\nBrother the Reo type of T.a. work Conover Bernarderile hig\nyou are now doing: Army - Navy - U.S.P.H. Hospital - U.S. Vet. Hospital - U.S. Indian\nService - Public Health - Institutional - Private Duty - Industrial - Office Nurse -\nRegistrar. none retered\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? ho\nHave you ever boon? no\nIndicate present physical condition scottorood (66 in buaz\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.? Hfosible\nBadge No. 12319\nCurrent date march 17th 1931\nNOTE. -- If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be annulled."
}