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24572 Form No. 469-(2) THE AMERICAN RED CROSS ENROLLMENT FORM M W Voyage number Atlantic Division To THE DIVISION OF TRANSPORTATION, From Nursing Department. BUREAU OF PERSONNEL. Date September 25, 1918. Approval of Director, Bureau of Personnel Approved controys 1. Name Conover, Lydia 2. Address 672 West 7th Street, Plainfield, N. J. 3. Temporary address, if any 4. Going to what countries Italy. 5. Nature of work Enrolled Red Cross Nurse. 6. Suggested rank 7. Length of stay (six months or over?) 1 year or more. 8. Proposed approximate date of departure Booked Sailed 10-21 9. Cable number in compliance with which above is being sent 499 10. Is appointee volunteer? No 11. If not volunteer, what salary per month is promised ? $ 70.00 12. To begin Day of departure for N.Y. 13. What allowance, if any, for transportation in United States? $ To New York and return. 14. What allowance, if any, for transportation (steamship) ? $ To destination and return. 15. What allowance, if any, for living expenses prior to departure? $4.00 day from date requested to report in New York to day of sailing. 16. What allowance, if any, for uniform equipment ? $ Yes, requisitioned at New York office. 17. What allowance, if any, for living expenses abroad ? $ Yes, regulation allowance 18. Is there to be an assignment of part or all of salary? $30.00 a month 19. Has the proper form been sent to the Life Extension Institute? Division of Transportation, PLEASE LEAVE THE FOLLOWING LINES BLANK. Correspondence checked Note Forms (ordy Mailed Clerk of the Court at Application for passport filed Date Issued 2 Reservation Cancelled Cabled Cancelled 2457. 4/ Date of Birth:-March 9, 1882. 2

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36
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Document identity
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Document source extras
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Page context
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    "ocrText": "24572\nForm No. 469-(2)\nTHE AMERICAN RED CROSS\nENROLLMENT FORM\nM\nW\nVoyage number\nAtlantic Division\nTo\nTHE DIVISION OF TRANSPORTATION,\nFrom Nursing Department.\nBUREAU OF PERSONNEL.\nDate September 25, 1918.\nApproval of Director,\nBureau of Personnel\nApproved controys\n1. Name\nConover, Lydia\n2. Address\n672 West 7th Street, Plainfield, N. J.\n3. Temporary address, if any\n4. Going to what countries\nItaly.\n5. Nature of work Enrolled Red Cross Nurse.\n6. Suggested rank\n7. Length of stay (six months or over?) 1 year or more.\n8. Proposed approximate date of departure\nBooked\nSailed 10-21\n9. Cable number in compliance with which above is being sent\n499\n10. Is appointee volunteer?\nNo\n11. If not volunteer, what salary per month is promised ? $ 70.00\n12. To begin Day of departure for N.Y.\n13. What allowance, if any, for transportation in United States? $ To New York and return.\n14. What allowance, if any, for transportation (steamship) ? $ To destination and return.\n15. What allowance, if any, for living expenses prior to departure? $4.00 day from date requested to report\nin New York to day of sailing.\n16. What allowance, if any, for uniform equipment ? $ Yes, requisitioned at New York office.\n17. What allowance, if any, for living expenses abroad ? $ Yes, regulation allowance\n18. Is there to be an assignment of part or all of salary? $30.00 a month\n19. Has the proper form been sent to the Life Extension Institute?\nDivision of Transportation,\nPLEASE LEAVE THE FOLLOWING LINES BLANK.\nCorrespondence checked\nNote Forms (ordy\nMailed\nClerk of the\nCourt at\nApplication for passport filed\nDate\nIssued\n2\nReservation\nCancelled\nCabled\nCancelled\n2457.\n4/\nDate of Birth:-March 9, 1882.\n2"
}