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FORM 1045 REV. 2-16-31 NATIONAL OFFICERS CENTRAL COMMITTEE HERBERT HOOVER, PRESIDENT JOHN BARTON PAYNE, CHAIRMAN ROBERT W. DE FOREST. VICE PRESIDENT MRS. AUGUST BELMONT CALVIN COOLIDGE, VICE PRESIDENT THE AMERICAN RED CROSS CORNELIUS N. BLISS MABEL T. BOARDMAN CHARLES EVANS HUGHES. VICE PRESIDENT JOSEPH P. COTTON THOMAS D. THACHER, COUNSELOR NATIONAL HEADQUARTERS MRS. HENRY P. DAVISON OGDEN L. MILLS. TREASURER MRS. FRANK v. HAMMAR WASHINGTON, D. C. MAJ. GEN. M. w. IRELAND MABEL T. BOARDMAN, SECRETARY SAMUEL KNIGHT OGDEN L. MILLS NATIONAL EXECUTIVE OFFICERS GUSTAVUS D. POPE MRS. HENRY R. REA JOHN BARTON PAYNE. CHAIRMAN REAR ADMIRAL CHARLES E. RIGGS JOHN D. RYAN JAMES L. FIESER, VICE CHAIRMAN ERNEST P. BICKNELL, VICE CHAIRMAN JAMES K. MCCLINTOCK, VICE CHAIRMAN 2-27-33. Coffeed of and Revenue, GEORGE E. SCOTT HENRY UPSON SIMS THOMAS D. THACHER ELIOT WADSWORTH 11 QUESTIONNAIRES DESTROYED Dear Madam: 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 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 enclosed envelope, at the earliest possible date. IMPORTANT: In order to render prompt service Yours sincerely, in time of disaster, enrolled Red Cross Mrs. Ferne G. Goodwin Chairman or Nurses should report at once to the Secy. State and Local Committee, Secretary. Secretary of the Local Committee under Red Cross Nursing Service, which they are enrolled. Do not forget 22. SCHOOL STREET Local Committee. the address of the Secretary. BRUNSWICK MAINE Name in full (mms) Thrence McCandless Dow If married, give husband's name Haroed Chester Dow Permanent address 451 STREET, ETC. CITY So.Pretand COUNTY Class mane STATE Heghland he Probable address for the next year 451 Highland STREET, are ETC. So Poeland me Telephone No Forest 56 05 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) misalfred P.Lee 4713 Sprungfield Ane, Phila Perra Underline the type of work you are now doing: Army - Navy - U.S.P.H. Hospital - U.S. Vet. Hospital - U.S. Indian Service - Public 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? yes Indicate present physical condition good Would you respond to an emergency call in event of epidemic, disaster, war, etc.? yes Badge No. 5311 Current date march 6 - 1933 NOTE.-If the nurse does not complete and return this questionnaire, and can not be located within two years, her enrolment will be annulled.

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    "ocrText": "FORM 1045 REV. 2-16-31\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nHERBERT HOOVER, PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nROBERT W. DE FOREST. VICE PRESIDENT\nMRS. AUGUST BELMONT\nCALVIN COOLIDGE, VICE PRESIDENT\nTHE AMERICAN RED CROSS\nCORNELIUS N. BLISS\nMABEL T. BOARDMAN\nCHARLES EVANS HUGHES. VICE PRESIDENT\nJOSEPH P. COTTON\nTHOMAS D. THACHER, COUNSELOR\nNATIONAL HEADQUARTERS\nMRS. HENRY P. DAVISON\nOGDEN L. MILLS. TREASURER\nMRS. FRANK v. HAMMAR\nWASHINGTON, D. C.\nMAJ. GEN. M. w. IRELAND\nMABEL T. BOARDMAN, SECRETARY\nSAMUEL KNIGHT\nOGDEN L. MILLS\nNATIONAL EXECUTIVE OFFICERS\nGUSTAVUS D. POPE\nMRS. HENRY R. REA\nJOHN BARTON PAYNE. CHAIRMAN\nREAR ADMIRAL CHARLES E. RIGGS\nJOHN D. RYAN\nJAMES L. FIESER, VICE CHAIRMAN\nERNEST P. BICKNELL, VICE CHAIRMAN\nJAMES K. MCCLINTOCK, VICE CHAIRMAN\n2-27-33. Coffeed of and Revenue,\nGEORGE E. SCOTT\nHENRY UPSON SIMS\nTHOMAS D. THACHER\nELIOT WADSWORTH\n11 QUESTIONNAIRES DESTROYED\nDear Madam:\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a list of all the Red Cross Nurses enrolled with our Committee, with their\nlatest addresses. We are extremely anxious to make a very complete report to National\nHeadquarters and ask for your cooperation. Please answer the following questions and\nreturn this form to me, in enclosed envelope, at the earliest possible date.\nIMPORTANT:\nIn order to render prompt service\nYours sincerely,\nin time of disaster, enrolled Red Cross\nMrs. Ferne G. Goodwin\nChairman or\nNurses should report at once to the\nSecy. State and Local Committee,\nSecretary.\nSecretary of the Local Committee under\nRed Cross Nursing Service,\nwhich they are enrolled. Do not forget\n22. SCHOOL STREET\nLocal Committee.\nthe address of the Secretary.\nBRUNSWICK\nMAINE\nName in full (mms) Thrence McCandless Dow\nIf married, give husband's name Haroed Chester Dow\nPermanent address 451 STREET, ETC. CITY So.Pretand COUNTY Class mane STATE\nHeghland he\nProbable address for the next year 451 Highland STREET, are ETC. So Poeland me\nTelephone No Forest 56 05\nCITY\nCOUNTY\nSTATE\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nmisalfred P.Lee 4713 Sprungfield Ane, Phila Perra\nUnderline the type of work\nyou are now doing: Army - Navy - U.S.P.H. Hospital - U.S. Vet. Hospital - U.S. Indian\nService - Public Health - Institutional - Private Duty - Industrial - Office Nurse -\nRegistrar.\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no\nHave you ever been?\nyes\nIndicate present physical condition good\nWould you respond to an emergency call in event of\nepidemic, disaster, war, etc.? yes\nBadge No. 5311\nCurrent date\nmarch 6 - 1933\nNOTE.-If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be annulled."
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