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a
<
S
26028.
M
Form No. 469-(2)
THE AMERICAN RED CROSS
a
ENROLLMENT FORM
M
W
Voyage number
From
Nursing Department.
To
THE DIVISION OF TRANSPORTATION,
BUREAU OF PERSONNEL.
Date September 9, 1918.
Approval of Director,
Bureau of Personnel
Approved Chongh
A
Davis, Mary Thornton
5
1. Name
c/o Judge C. T. Davis, Land Court, Court House, Bosotn, Mass. New England Div.
2. Address
3. Temporary address, if any
4. countries Italy.
Going to what
Enrolled Red Cross Nurse.
5.
Nature
of
work
6. Suggested rank
7. Length of stay (six months or over ?) year
1 or more.
8. Proposed approximate date of departure
Booked
Sailed 12/3/18
9. Cable number in compliance with
which above is being sent Dr. White' T.B. Unit to Italy.
No
10. Is appointee volunteer?
11. If not volunteer, what salary per month is promised ? $ 70.00
12. To begin
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 in day from to date day of requested
to
report
New York 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 ?
19. Has the proper form been sent to the Life Extension Institute?
Division of Transportation,
PLEASE LEAVE THE FOLLOWING LINES BLANK.
Correspondence checked
Forms Note 6 an
Mailed
Court at
Clerk of the
Date
Issued
Application for passport filed
Reservation
Cancelled
Cabled
Cancelled
N
6
0
R
8
Page data
- Page
- 131
- Source index
- 0
- Type
- photo
- Media ID
- 15907d1d67fb72cd
- Size
- unknown
Document data
- ID
- 2661320
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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Document source metadata
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Document source extras
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Page context
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"ocrText": "a\n<\nS\n26028.\nM\nForm No. 469-(2)\nTHE AMERICAN RED CROSS\na\nENROLLMENT FORM\nM\nW\nVoyage number\nFrom\nNursing Department.\nTo\nTHE DIVISION OF TRANSPORTATION,\nBUREAU OF PERSONNEL.\nDate September 9, 1918.\nApproval of Director,\nBureau of Personnel\nApproved Chongh\nA\nDavis, Mary Thornton\n5\n1. Name\nc/o Judge C. T. Davis, Land Court, Court House, Bosotn, Mass. New England Div.\n2. Address\n3. Temporary address, if any\n4. countries Italy.\nGoing to what\nEnrolled Red Cross Nurse.\n5.\nNature\nof\nwork\n6. Suggested rank\n7. Length of stay (six months or over ?) year\n1 or more.\n8. Proposed approximate date of departure\nBooked\nSailed 12/3/18\n9. Cable number in compliance with\nwhich above is being sent Dr. White' T.B. Unit to Italy.\nNo\n10. Is appointee volunteer?\n11. If not volunteer, what salary per month is promised ? $ 70.00\n12. To begin\n13. What allowance, if any, for transportation in United States? $ To New York\nand\nreturn.\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 in day from to date day of requested\nto\nreport\nNew York 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 ?\n19. Has the proper form been sent to the Life Extension Institute?\nDivision of Transportation,\nPLEASE LEAVE THE FOLLOWING LINES BLANK.\nCorrespondence checked\nForms Note 6 an\nMailed\nCourt at\nClerk of the\nDate\nIssued\nApplication for passport filed\nReservation\nCancelled\nCabled\nCancelled\nN\n6\n0\nR\n8"
}