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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."
}