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#59329 FORM 1045-A REV. 1-15-35 THE AMERICAN RED CROSS NATIONAL HEADQUARTERS A.R.C. MAIL ROOM WASHINGTON, D. c. RECEIVER May 18, 1936 SEP-11936 0 DESTROTED Dear Madam: The National Committee on Red Cross Nursing Service requires us to submit, annually, a list of all enrolled Red Cross Nurses with their latest addresses. We are extremely anxious to make a very complete report and ask for your cooperation. Will you kindly answer the following questions and return this form to me, in the enclosed envelope, at the earliest possible date? Yours sincerely, IMPORTANT: In order to render prompt service in time of disaster, enrolled Red Cross Clasa Dissys Nurses should report at once to the Secretary of the Local Committee under National Director, which they are enrolled. Do not forget Red Cross Nursing Service the address of the Secretary. Name in full Edna M. Cree If married, give husband's name Permanent address Colebrook, Coos, New Hampshine (STREET. ETC.) (CITY) (COUNTY) (STATE) Probable address for the next year 1012 Beacok St. Brouking Bass (STREET, ETC.) Telephone No Longwood 9677 Boston Mass (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) (Sister) Nellie Cree, Plunk.t Hospital , Adams, 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. (syndont) Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? No Have you ever been? No Indicate present physical condition good Would you respond to an emergency call in event of epidemic, disaster, war, etc. yes Badge No. 59329 Current date August,17,1936 NOTE. - If the nurse does not complete and return this questionnaire, and can not be located within two years, her enrolment will be removed from our active files.

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    "ocrText": "#59329\nFORM 1045-A\nREV. 1-15-35\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nA.R.C. MAIL ROOM\nWASHINGTON, D. c.\nRECEIVER\nMay 18, 1936\nSEP-11936\n0 DESTROTED\nDear Madam:\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a list of all enrolled Red Cross Nurses with their latest addresses. We are\nextremely anxious to make a very complete report and ask for your cooperation. Will\nyou kindly answer the following questions and return this form to me, in the enclosed\nenvelope, at the earliest possible date?\nYours sincerely,\nIMPORTANT:\nIn order to render prompt service\nin time of disaster, enrolled Red Cross\nClasa Dissys\nNurses should report at once to the\nSecretary of the Local Committee under\nNational Director,\nwhich they are enrolled. Do not forget\nRed Cross Nursing Service\nthe address of the Secretary.\nName in full\nEdna M. Cree\nIf married, give husband's name\nPermanent address\nColebrook,\nCoos,\nNew Hampshine\n(STREET. ETC.)\n(CITY)\n(COUNTY)\n(STATE)\nProbable address for the next year\n1012 Beacok St. Brouking Bass\n(STREET, ETC.)\nTelephone No Longwood 9677\nBoston\nMass\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)\n(Sister) Nellie Cree, Plunk.t Hospital , Adams, 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.\n(syndont)\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? No\nHave you ever been?\nNo\nIndicate present physical condition\ngood\nWould you respond to an emergency call in event of epidemic, disaster, war, etc. yes\nBadge No. 59329\nCurrent date\nAugust,17,1936\nNOTE. - If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be removed from our active files."
}