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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"
}