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FORM 1045--REV. 2-24-27
NATIONAL OFFICERS
CENTRAL COMMITTEE
CALVIN COOLIDGE, PRESIDENT
JOHN BARTON PAYNE, CHAIRMAN
ROBERT w. DE FOREST. VICE PRESIDENT
CORNELIUS N. BLISS
WILLIAM HOWARD TAFT, VICE PRESIDENT
THE AMERICAN RED CROSS
WILLIAM D. MITCHELL, COUNSELOR
MRS. HENRY P. DAVISON
NATIONAL HEADQUARTERS
E. B. DOUGLAS
:
M
MRS. AUGUST BELMONT
MABEL T BOARDMAN
OGDEN L. MILLS, TREASURER
MRS. FRANK v. HAMMAR
MABEL T. BOARDMAN, SECRETARY
WASHINGTON, D.C.
HERBERT HOOVER
I.
Mrs
MAJ. GEN. M. w. IRELAND
SAMUEL KNIGHT
NATIONAL EXECUTIVE OFFICERS
OGDEN L. MILLS
WILLIAM D. MITCHELL
JOHN BARTON PAYNE, CHAIRMAN
ROBERT E, OLDS
GUSTAVUS D. POPE
JAMES L. FIESER, VICE CHAIRMAN
MRS. HENRY R. REA
ERNEST P. BICKNELL, VICE CHAIRMAN
1928.
JOHN D, RYAN
M
GEORGE E, SCOTT
Miss Matilda Conn,
REAR ADMIRAL E. R. STITT
(410 So. Atlantic Ave.) 5210 Barm Bled
a
Pgh. , Penna.
ogh Ra
+
2ND NOTICE
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,
F.
ELNA SMITTEN, R. N.
3
In order to render prompt service
Secretary Nursing Service
Chairman or
in time of disaster, enrolled Red Cross
AMERICANRED.CROSS
Secretary.
nurses should report at once to the
Chamber of Commerce Bldg.
Secretary of the Local Committee under
PITTSBURGH, PA. 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, Pgle Pa
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) (Sister)
Underline the type of work
me aley guddis 150 East 35th St new york City ky.
you are now doing: - Army - Navy - U.S.P.H. Hospital - U.S.Vet. Hospital - Public
22
Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.
W
Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?
Have you ever been?
Indicate present physical condition
good
Would you respond emergency epidemic, etc.? fes.
to an call in event of disaster, war,
Badge No. 23,709.
Current date July 23.44 1928.
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\nI\n&\net\nJ\n)\n6\nFORM 1045--REV. 2-24-27\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nCALVIN COOLIDGE, PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nROBERT w. DE FOREST. VICE PRESIDENT\nCORNELIUS N. BLISS\nWILLIAM HOWARD TAFT, VICE PRESIDENT\nTHE AMERICAN RED CROSS\nWILLIAM D. MITCHELL, COUNSELOR\nMRS. HENRY P. DAVISON\nNATIONAL HEADQUARTERS\nE. B. DOUGLAS\n:\nM\nMRS. AUGUST BELMONT\nMABEL T BOARDMAN\nOGDEN L. MILLS, TREASURER\nMRS. FRANK v. HAMMAR\nMABEL T. BOARDMAN, SECRETARY\nWASHINGTON, D.C.\nHERBERT HOOVER\nI.\nMrs\nMAJ. GEN. M. w. IRELAND\nSAMUEL KNIGHT\nNATIONAL EXECUTIVE OFFICERS\nOGDEN L. MILLS\nWILLIAM D. MITCHELL\nJOHN BARTON PAYNE, CHAIRMAN\nROBERT E, OLDS\nGUSTAVUS D. POPE\nJAMES L. FIESER, VICE CHAIRMAN\nMRS. HENRY R. REA\nERNEST P. BICKNELL, VICE CHAIRMAN\n1928.\nJOHN D, RYAN\nM\nGEORGE E, SCOTT\nMiss Matilda Conn,\nREAR ADMIRAL E. R. STITT\n(410 So. Atlantic Ave.) 5210 Barm Bled\na\nPgh. , Penna.\nogh Ra\n+\n2ND NOTICE\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,\nF.\nELNA SMITTEN, R. N.\n3\nIn order to render prompt service\nSecretary Nursing Service\nChairman or\nin time of disaster, enrolled Red Cross\nAMERICANRED.CROSS\nSecretary.\nnurses should report at once to the\nChamber of Commerce Bldg.\nSecretary of the Local Committee under\nPITTSBURGH, PA. Local 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, Pgle Pa\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) (Sister)\nUnderline the type of work\nme aley guddis 150 East 35th St new york City ky.\nyou are now doing: - Army - Navy - U.S.P.H. Hospital - U.S.Vet. Hospital - Public\n22\nHealth - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nW\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?\nHave you ever been?\nIndicate present physical condition\ngood\nWould you respond emergency epidemic, etc.? fes.\nto an call in event of disaster, war,\nBadge No. 23,709.\nCurrent date July 23.44 1928.\nNOTE. --- --If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be annulled."
}