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D'Olier, Kathleen [1/2]

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FORM 1045 REV. 12-3-37 THE AMERICAN RED CROSS NATIONAL HEADQUARTERS WASHINGTON, D. C. # QUESTIONNAIRES DESTROYED 8/28/45 Dear Red Cross Nurse: 4 The National Committee on Red Cross Nursing Service requires us to submit, annually, a report of all the Red Cross Nurses enrolled with our Committee. Will you therefore, please answer the following questions and return this form to me, in the enclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED WITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec- ognize the value of filing this information and will return the questionnaire promptly, as we are extremely anxious to make a very complete report to National Headquarters. IMPORTANT: In order to render prompt service Yours sincerely, Chairman or in time of disaster, enrolled Red Cross LUCY M. BAYLEY, Secretary. Nurses should report at once to the Secretary of the Local Committee under 37 S. GOODMAN ST. Local Committee. which they are enrolled. Do not forget ROCHESTER, N.Y. Name the address in of full the Secretary. G. Nathleen 7 d'Ohin - If married, give husband's name Permanent address 35 Warwick hr Rochester momor n.y. (STREET, ETC.) (CITY) (COUNTY) (STATE Probable address for the next year as above (STREET, ETC.) Telephone No. year 2607 (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) wheel d'Ohin Trimby - 35Wanvick her Rochester n.y nice 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. Sreal Service Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? Have you ever been? no Indicate present physical condition good Would you respond to an emergency call in event of epidemic, disaster, war, etc. ? yrs Badge No. 720 Current date 3/2/38 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.

Page data

Page
8
Source index
0
Type
photo
Media ID
4857c0fbc40835cb
Size
unknown

Document data

ID
2661375
Core
doc
Type
document
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Context sent to Scholar

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Document source extras 
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    "coverageEndDate": {
        "day": 10,
        "logicalDate": "1945-08-10",
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        "day": 27,
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Page context 
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    "ocrText": "FORM 1045\nREV. 12-3-37\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D. C.\n# QUESTIONNAIRES DESTROYED\n8/28/45\nDear Red Cross Nurse:\n4\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a report of all the Red Cross Nurses enrolled with our Committee. Will you\ntherefore, please answer the following questions and return this form to me, in the\nenclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED\nWITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-\nognize the value of filing this information and will return the questionnaire promptly,\nas we are extremely anxious to make a very complete report to National Headquarters.\nIMPORTANT:\nIn order to render prompt service\nYours sincerely,\nChairman or\nin time of disaster, enrolled Red Cross\nLUCY M. BAYLEY,\nSecretary.\nNurses should report at once to the\nSecretary of the Local Committee under\n37 S. GOODMAN ST.\nLocal Committee.\nwhich they are enrolled. Do not forget\nROCHESTER, N.Y.\nName the address in of full the Secretary. G. Nathleen 7 d'Ohin\n-\nIf married, give husband's name\nPermanent address 35 Warwick hr Rochester momor n.y.\n(STREET, ETC.)\n(CITY)\n(COUNTY)\n(STATE\nProbable address for the next year\nas above\n(STREET, ETC.)\nTelephone No. year 2607\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)\nwheel d'Ohin Trimby - 35Wanvick her Rochester n.y nice\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.\nSreal Service\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?\nHave you ever been? no\nIndicate present physical condition good\nWould you respond to an emergency call in event of epidemic, disaster, war, etc. ? yrs\nBadge No. 720\nCurrent date 3/2/38\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."
}