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M E wands Form 1045-Rev. 2-16-21 NATIONAL OFFICERS CENTRAL COMMITTEE 5 HERBERT HOOVER, PRESIDENT JOHN BARTON PAYNE, CHAIRMAN CALVIN COOLIDGE, VICE PRESIDENT THE AMERICAN RED CROSS MRS. AUGUST BELMONT CHARLES EVANS HUGHES. VICE PRESIDENT CORNELIUS N. BLISS MABEL T. BOARDMAN THOMAS D. THACHER, COUNSELOR NATIONAL HEADQUARTERS WILLIAM R. CASTLE, JR. OGDEN L. MILLS, TREASURER MRS. HENRY P. DAVISON MABEL T. BOARDMAN, SECRETARY WASHINGTON, D. C. MRS. FRANK v. HAMMAR m SAMUEL KNIGHT OGDEN L. MILLS NATIONAL EXECUTIVE OFFICERS MAJ. GEN, ROBERT U. PATTERSON GUSTAVUS D. POPE JOHN BARTON PAYNE, CHAIRMAN MRS. HENRY R. REA I= JAMES L. FIESER, Vice CHAIRMAN REAR ADMIRAL CHARLES E. RIGGS JOHN D. RYAN ERNEST P. BICKNELL. VICE CHAIRMAN GEORGE E. SCOTT JAMES K. MCCLINTOCK, VICE CHAIRMAN HENRY UPSON SIMS THOMAS D. THACHER is ELIOT WADSWORTH n 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 eariest possible date. IMPORTANT: In order to render prompt service Yours sincerely, in time of disaster, enrolled Red Cross Chairman or Nurses should report at once to the PLORENCE M. JOHNSON Secretary.. Secretary of the Local Committee under which they are enrolled. Do not forget MANHATTAN Local Committee. the address of the Secretary. Name in full Ellen Lydia Edwards If married, give husband's name Permanent address 420 Heat, 119" that St. New York (STREET, ETC.) (CÍT/) (COUNTY) N-2 (STATE) Probable address for the next year 420 W119 th a St. (STREET, Nur fore ETC.) n y Telephone No. Univ.4 6530 (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) mrs. L. B. Edwards, Hospital minevea, n.y. Underline the type of work you are now doing: Army - Navy - U.S.P.H. Service - U.S. Vet. Administration - 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? no Indicate present physical condition Good Would you respond to an emergency call in event of epidemic, disaster, war, etc.? ho Badge No. 15884 Current date april 13-1932 NOTE.- - If the nurse does not complete and return this questionnaire, and can not be 8 located within two years, her enrolment will be annulled. 4

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    "ocrText": "M\nE\nwands\nForm 1045-Rev. 2-16-21\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\n5\nHERBERT HOOVER, PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nCALVIN COOLIDGE, VICE PRESIDENT\nTHE AMERICAN RED CROSS\nMRS. AUGUST BELMONT\nCHARLES EVANS HUGHES. VICE PRESIDENT\nCORNELIUS N. BLISS\nMABEL T. BOARDMAN\nTHOMAS D. THACHER, COUNSELOR\nNATIONAL HEADQUARTERS\nWILLIAM R. CASTLE, JR.\nOGDEN L. MILLS, TREASURER\nMRS. HENRY P. DAVISON\nMABEL T. BOARDMAN, SECRETARY\nWASHINGTON, D. C.\nMRS. FRANK v. HAMMAR\nm\nSAMUEL KNIGHT\nOGDEN L. MILLS\nNATIONAL EXECUTIVE OFFICERS\nMAJ. GEN, ROBERT U. PATTERSON\nGUSTAVUS D. POPE\nJOHN BARTON PAYNE, CHAIRMAN\nMRS. HENRY R. REA\nI=\nJAMES L. FIESER, Vice CHAIRMAN\nREAR ADMIRAL CHARLES E. RIGGS\nJOHN D. RYAN\nERNEST P. BICKNELL. VICE CHAIRMAN\nGEORGE E. SCOTT\nJAMES K. MCCLINTOCK, VICE CHAIRMAN\nHENRY UPSON SIMS\nTHOMAS D. THACHER\nis\nELIOT WADSWORTH\nn\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 eariest possible date.\nIMPORTANT:\nIn order to render prompt service\nYours sincerely,\nin time of disaster, enrolled Red Cross\nChairman or\nNurses should report at once to the\nPLORENCE M. JOHNSON\nSecretary..\nSecretary of the Local Committee under\nwhich they are enrolled. Do not forget\nMANHATTAN\nLocal Committee.\nthe address of the Secretary.\nName in full Ellen Lydia Edwards\nIf married, give husband's name\nPermanent address 420 Heat, 119\" that St. New York\n(STREET, ETC.)\n(CÍT/)\n(COUNTY)\nN-2 (STATE)\nProbable address for the next year 420 W119 th a St. (STREET, Nur fore ETC.) n y\nTelephone No. Univ.4 6530\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)\nmrs. L. B. Edwards, Hospital minevea, n.y.\nUnderline the type of work you are now doing:\nArmy - Navy - U.S.P.H. Service - U.S. Vet. Administration - U.S. Indian Service -\nPublic Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\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\ncondition Good\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.? ho\nBadge No. 15884\nCurrent date april 13-1932\nNOTE.- - If the nurse does not complete and return this questionnaire, and can not be\n8\nlocated within two years, her enrolment will be annulled.\n4"
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