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F to I et m FORM 1045 REV. 2-16-31 NATIONAL OFFICERS CENTRAL COMMITTEE HERBERT HOOVER, PRESIDENT JOHN BARTON PAYNE, CHAIRMAN M MRS. AUGUST BELMONT ROBERT w. DE FOREST, VICE PRESIDENT CALVIN COOLIDGE, VICE PRESIDENT THE AMERICAN RED CROSS CORNELIUS N. BLISS MABEL T. BOARDMAN JOSEPH P. COTTON a M CHARLES EVANS HUGHES, VICE PRESIDENT THOMAS D. THACHER, COUNSELOR NATIONAL HEADQUARTERS MRS. HENRY P. DAVISON MRS. FRANK v. HAMMAR OGDEN L. MILLS, TREASURER MAJ. GEN. M. w. IRELAND I WASHINGTON, D.C. MABEL T. BOARDMAN, SECRETARY SAMUEL KNIGHT OGDEN L. MILLS - S GUSTAVUS D. POPE NATIONAL EXECUTIVE OFFICERS MRS, HENRY R. REA REAR ADMIRAL CHARLES E. RIGGS a JOHN BARTON PAYNE, CHAIRMAN JOHN D. RYAN JAMES L. FIESER, VICE CHAIRMAN GEORGE E, SCOTT a HENRY UPSON SIMS ERNEST P. BICKNELL, VICE CHAIRMAN THOMAS D. THACHER M JAMES K. MCCLINTOCK, VICE CHAIRMAN ELIOT WADSWORTH C a + on Dear Madam: { a a 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: Yours sincerely, 3 In order to render prompt service Chairman or in time of disaster, enrolled Red Cross F. ELNA SMITTEN: Secretary. Nurses should report at once to the Secretary Local Committee Secretary of the Local Committee under RED CROSS NURSING SERVICE Local Committee. which they are enrolled. Do not forget Chamber of Commerce Bldg. the address of the Secretary. PITTSBURGH, PA. Name in full Matilda Conn now (mos) m S. Feemley If married, give husband's name melvin S. Falmley Permanent address 44 STREET, Broadway ETC. St CITY n. Iwwn Westmoneland., COUNTY STATE Penna Probable address for the next year same STREET, ETC. Telephone No. 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) (Sister) ms Aley geddes - 150 East, 35th st. new york City n.y 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? no Indicate present physical condition good Would you respond to an emergency call in event of epidemic, disaster, war, etc.? Badge No. 23,709 Current date april 9th th 1932 NOTE. -If the nurse does not complete and return this questionnaire, and can not be located within two years, her enrolment will be annulled. 3nd Resure family responsibilities

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    "ocrText": "F\nto\nI\net\nm\nFORM 1045 REV. 2-16-31\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nHERBERT HOOVER, PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nM\nMRS. AUGUST BELMONT\nROBERT w. DE FOREST, VICE PRESIDENT\nCALVIN COOLIDGE, VICE PRESIDENT\nTHE AMERICAN RED CROSS\nCORNELIUS N. BLISS\nMABEL T. BOARDMAN\nJOSEPH P. COTTON\na\nM\nCHARLES EVANS HUGHES, VICE PRESIDENT\nTHOMAS D. THACHER, COUNSELOR\nNATIONAL HEADQUARTERS\nMRS. HENRY P. DAVISON\nMRS. FRANK v. HAMMAR\nOGDEN L. MILLS, TREASURER\nMAJ. GEN. M. w. IRELAND\nI\nWASHINGTON, D.C.\nMABEL T. BOARDMAN, SECRETARY\nSAMUEL KNIGHT\nOGDEN L. MILLS\n-\nS\nGUSTAVUS D. POPE\nNATIONAL EXECUTIVE OFFICERS\nMRS, HENRY R. REA\nREAR ADMIRAL CHARLES E. RIGGS\na\nJOHN BARTON PAYNE, CHAIRMAN\nJOHN D. RYAN\nJAMES L. FIESER, VICE CHAIRMAN\nGEORGE E, SCOTT\na\nHENRY UPSON SIMS\nERNEST P. BICKNELL, VICE CHAIRMAN\nTHOMAS D. THACHER\nM\nJAMES K. MCCLINTOCK, VICE CHAIRMAN\nELIOT WADSWORTH\nC\na\n+\non\nDear Madam:\n{\na\na\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:\nYours sincerely,\n3\nIn order to render prompt service\nChairman or\nin time of disaster, enrolled Red Cross\nF. ELNA SMITTEN:\nSecretary.\nNurses should report at once to the\nSecretary Local Committee\nSecretary of the Local Committee under\nRED CROSS NURSING SERVICE\nLocal Committee.\nwhich they are enrolled. Do not forget\nChamber of Commerce Bldg.\nthe address of the Secretary.\nPITTSBURGH, PA.\nName in full\nMatilda Conn now (mos) m S. Feemley\nIf\nmarried, give husband's name melvin S. Falmley\nPermanent\naddress 44 STREET, Broadway ETC. St CITY n. Iwwn Westmoneland., COUNTY STATE Penna\nProbable address for the next year\nsame\nSTREET, ETC.\nTelephone No.\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)\n(Sister) ms Aley geddes - 150 East, 35th st. new york City n.y\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?\nno\nIndicate present physical condition\ngood\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.?\nBadge No. 23,709\nCurrent date\napril 9th th 1932\nNOTE. -If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be annulled.\n3nd Resure family responsibilities"
}