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F (b I et FORM 1045--REV. 2-24-27 NATIONAL OFFICERS CENTRAL COMMITTEE JOHN BARTON PAYNE, CHAIRMAN CALVIN COOLIDGE, PRESIDENT MRS. AUGUST BELMONT ROBERT W.DE FOREST. VICE PRESIDENT CORNELIUS N. BLISS WILLIAM HOWARD TAFT, VICE PRESIDENT MABEL T. BOARDMAN MRS. HENRY P. DAVISON WILLIAM D. MITCHELL, COUNSELOR NATIONAL HEADQUARTERS E. B. DOUGLAS MRS. FRANK v. HAMMAR Mats 3 THE AMERICAN RED CROSS a M OGDEN L, MILLS, TREASURER MABEL T. BOARDMAN, SECRETARY WASHINGTON, D. C. HERBERT HOOVER MAJ. GEN. M. w. IRELAND SAMUEL KNIGHT I. T NATIONAL EXECUTIVE OFFICERS OGDEN L. MILLS S WILLIAM D. MITCHELL JOHN BARTON PAYNE, CHAIRMAN ROBERT E, OLDS GUSTAVUS D. POPE JAMES L. FIESER, VICE CHAIRMAN 1929. MRS. HENRY R. REA ERNEST P. BICKNELL, VICE CHAIRMAN JOHN D, RYAN GEORGE E, SCOTT REAR ADMIRAL E. R. STITT M Miss Matilda Conn, 5210 Baum Blvd., Pittsburgh, Penna. a + 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 the enclosed envelope, at the earliest possible date. IMPORTANT: Yours sincerely, In order to render prompt service Chairman or F. Elna Suitten M in time of disaster, enrolled Red Cross Secretary. nurses should report at once to the Secretary of the Local Committee under Pittsburgh Local Committee. which they are enrolled. Do not forget the address of the Secretary. Name in full matilda Conn If married, give husband's name Permanent address 5210 Baum Blvd, Pgh Pa checkmark_ntt Probable address for the next year Telephone No. montrose 3734 Name and address of nearest relative or friend, in United States, through whom you may be communicated with in an emergency. (State relationship) mrs aley guddis 150 East 35thyst new york Caity Underline the type of work you are now doing: - Army - Navy - U.S.P.H. Hospital - U.S.Vet. Hospital - Public Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar. 22 Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? Have you ever been? Would you present respond to an emergency call in good. event of epidemic, disaster, war, etc.? yes, Indicate physical condition Badge No. 23,709 Current date Feb 7th/1929 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": "F\n(b\nI\net\nFORM 1045--REV. 2-24-27\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nJOHN BARTON PAYNE, CHAIRMAN\nCALVIN COOLIDGE, PRESIDENT\nMRS. AUGUST BELMONT\nROBERT W.DE FOREST. VICE PRESIDENT\nCORNELIUS N. BLISS\nWILLIAM HOWARD TAFT, VICE PRESIDENT\nMABEL T. BOARDMAN\nMRS. HENRY P. DAVISON\nWILLIAM D. MITCHELL, COUNSELOR\nNATIONAL HEADQUARTERS\nE. B. DOUGLAS\nMRS. FRANK v. HAMMAR\nMats\n3\nTHE AMERICAN RED CROSS\na\nM\nOGDEN L, MILLS, TREASURER\nMABEL T. BOARDMAN, SECRETARY\nWASHINGTON, D. C.\nHERBERT HOOVER\nMAJ. GEN. M. w. IRELAND\nSAMUEL KNIGHT\nI.\nT\nNATIONAL EXECUTIVE OFFICERS\nOGDEN L. MILLS\nS\nWILLIAM D. MITCHELL\nJOHN BARTON PAYNE, CHAIRMAN\nROBERT E, OLDS\nGUSTAVUS D. POPE\nJAMES L. FIESER, VICE CHAIRMAN\n1929.\nMRS. HENRY R. REA\nERNEST P. BICKNELL, VICE CHAIRMAN\nJOHN D, RYAN\nGEORGE E, SCOTT\nREAR ADMIRAL E. R. STITT\nM\nMiss Matilda Conn,\n5210 Baum Blvd.,\nPittsburgh, Penna.\na\n+\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 the enclosed envelope, at the earliest possible date.\nIMPORTANT:\nYours sincerely,\nIn order to render prompt service\nChairman or\nF. Elna Suitten\nM\nin time of disaster, enrolled Red Cross\nSecretary.\nnurses should report at once to the\nSecretary of the Local Committee under\nPittsburgh\nLocal Committee.\nwhich they are enrolled. Do not forget\nthe address of the Secretary.\nName in full\nmatilda Conn\nIf married, give husband's name\nPermanent address\n5210 Baum Blvd, Pgh Pa\ncheckmark_ntt\nProbable address for the next year\nTelephone No. montrose 3734\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nmrs aley guddis 150 East 35thyst new york Caity\nUnderline the type of work\nyou are now doing: - Army - Navy - U.S.P.H. Hospital - U.S.Vet. Hospital - Public\nHealth - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\n22\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?\nHave you ever been?\nWould you present respond to an emergency call in good. event of epidemic, disaster, war, etc.? yes,\nIndicate physical condition\nBadge No. 23,709\nCurrent date Feb 7th/1929\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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