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J
FORM 843-A
Eastern
REV. 3-1-22
Branch
PUBLIC HEALTH NURSES RESIGNATION SLIP
Dalton, Bess
39712
Name
Enrol. No.
Chesterfield
So.Car.
Resigned from
(NAME OF CHAPTER OR SERVICE)
(CITY)
(STATE)
B
DATES
Salary at resignation
144
(b
Assigned
(TO ABOVE SERVICE)
Reason for resignation Itin. transfer
S
Resigned
Transferred
Itin. 7-4-33
Dismissed
III
-
L
Desirability for future appointment
7
(This should be accompanied by Form 852)
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"ocrText": "J\nFORM 843-A\nEastern\nREV. 3-1-22\nBranch\nPUBLIC HEALTH NURSES RESIGNATION SLIP\nDalton, Bess\n39712\nName\nEnrol. No.\nChesterfield\nSo.Car.\nResigned from\n(NAME OF CHAPTER OR SERVICE)\n(CITY)\n(STATE)\nB\nDATES\nSalary at resignation\n144\n(b\nAssigned\n(TO ABOVE SERVICE)\nReason for resignation Itin. transfer\nS\nResigned\nTransferred\nItin. 7-4-33\nDismissed\nIII\n-\nL\nDesirability for future appointment\n7\n(This should be accompanied by Form 852)"
}