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Form 1045 NATIONAL OFFICERS CENTRAL COMMITTEE CALVIN COOLIDGE. PRESIDENT JOHN BARTON PAYNE, CHAIRMAN MRS. AUGUST BELMONT ROBERT w. DE FOREST, VICE PRESIDENT CORNELIUS N. BLISS WILLIAM HOWARD TAFT. VICE PRESIDENT THE AMERICAN RED CROSS MABEL T. BOARDMAN WILLIAM D. MITCHELL, COUNSELOR MRS, HENRY P. DAVISON NATIONAL HEADQUARTERS E, B. DOUGLAS GARDARD B. WINSTON, TREASURER JOSEPH c. GREW MABEL T. BOARDMAN. SECRETARY WASHINGTON, D.C. MRS. FRANK v. HAMMAR HERBERT HOOVER MAJ. GEN M, w. IRELAND 3 NATIONAL EXECUTIVE OFFICERS WILLIAM D. MITCHELL w. w. MORROW JOHN BARTON PAYNE, CHAIRMAN GUSTAVUS D, POPE MRS. HENRY R. REA (b JAMES L. FIESER, VICE CHAIRMAN JOHN D. RYAN ERNEST P. BICKNELL. VICE CHAIRMAN GEORGE E. SCOTT REAR ADMIRAL E. R. STITT GARRARD B. WINSTON youngetown O. march 1926 Dear Madam: As you undoubtedly know, 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 know that you are very busy, but 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 the enclosed envelope, at the earliest possible date. Yours sincerely, -Chairmen or mes. alice m. malloy Secretary. youngelous Local Committee. 1682. mahaning are Name in full Mutty P. Cottrall R.n. If married, give husband's name - Permanent address Probable address for the next year Danna "20 might Milling this Telephone No. Nill.1342 Name and address of nearest relative Ms. C.C.Cattony (State relationship) mother, Underline the type of work you are now doing: - Army - Navy - U.S.P.H.Hospital - .S.Vet.Hospital - Public a Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no Have you ever been? no. Would you respond to an emergency call in event of disaster, etc.? Indicate present physical condition Fair - epidemic, accident. war, the Badge No. 219459 Current date March 23-1926- NOTE.--If -- the nurse does not complete and return this questionnaire, and can not be located within two years, her enrollment will be annulled.

Page data

Page
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Context sent to Scholar

Document identity
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Document source extras
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Page context
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    "ocrText": "Form 1045\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nCALVIN COOLIDGE. PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nMRS. AUGUST BELMONT\nROBERT w. DE FOREST, VICE PRESIDENT\nCORNELIUS N. BLISS\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nTHE AMERICAN RED CROSS\nMABEL T. BOARDMAN\nWILLIAM D. MITCHELL, COUNSELOR\nMRS, HENRY P. DAVISON\nNATIONAL HEADQUARTERS\nE, B. DOUGLAS\nGARDARD B. WINSTON, TREASURER\nJOSEPH c. GREW\nMABEL T. BOARDMAN. SECRETARY\nWASHINGTON, D.C.\nMRS. FRANK v. HAMMAR\nHERBERT HOOVER\nMAJ. GEN M, w. IRELAND\n3\nNATIONAL EXECUTIVE OFFICERS\nWILLIAM D. MITCHELL\nw. w. MORROW\nJOHN BARTON PAYNE, CHAIRMAN\nGUSTAVUS D, POPE\nMRS. HENRY R. REA\n(b\nJAMES L. FIESER, VICE CHAIRMAN\nJOHN D. RYAN\nERNEST P. BICKNELL. VICE CHAIRMAN\nGEORGE E. SCOTT\nREAR ADMIRAL E. R. STITT\nGARRARD B. WINSTON\nyoungetown O.\nmarch 1926\nDear Madam:\nAs you undoubtedly know, the National Committee on Red Cross Nursing Service\nrequires us to submit, annually, a list of all the Red Cross Nurses enrolled with our\nCommittee, with their latest addresses. We know that you are very busy, but we are\nextremely anxious to make a very complete report to National Headquarters and ask for\nyour cooperation. Please answer the following questions and return this form to me,\nin the enclosed envelope, at the earliest possible date.\nYours sincerely,\n-Chairmen or\nmes. alice m. malloy Secretary.\nyoungelous Local Committee.\n1682. mahaning are\nName in full\nMutty P. Cottrall R.n.\nIf married, give husband's name\n-\nPermanent address\nProbable address for the next year Danna\n\"20 might Milling this\nTelephone No. Nill.1342\nName and address of nearest relative\nMs. C.C.Cattony\n(State relationship)\nmother,\nUnderline the type of work\nyou are now doing:\n-\nArmy - Navy - U.S.P.H.Hospital - .S.Vet.Hospital - Public\na\nHealth - Institutional - Private Duty - Industrial - Office Nurse - Registrar\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no\nHave you ever been? no.\nWould you respond to an emergency call in event of disaster, etc.?\nIndicate present physical condition Fair - epidemic, accident. war, the\nBadge No. 219459\nCurrent date March 23-1926-\nNOTE.--If -- the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled."
}