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FORM 1189
REV. FEB. 1941
AMERICAN RED CROSS
NURSING SERVICE
PROFESSIONAL AFFILIATION
This form is to be sent by the Local Committee directly to the Secretary of the District or State Nurses' Association
of which the applicant is a member, with circular letter concerning the same (Form 1197).
(If credential is obtained from a District Nurses' Association use this half of the form.)
C
This certifies that Henrietta Sophia Fitch
a graduate of
Mountainside Hospital
School of Nursing
located at
Montclair
New Jersey
(CITY)
(STATE)
is a member in good standing of District No.
1
of the New Jersey
State Nurses'
Association which carries with it membership in the American Nurses' Association, and recommends her for enroll-
ment in the Red Cross Nursing Service.
For the year 1941
Idelen M (SIGNATURE OF OFFICER) (TITLE)
DISTRICT No. 1
New Jersey State Nurses' Association
(ASSOCIATION)
Date JAN 5 1942
HELEN M. BALSTRAZ
780 UNION CABURETY PARKWAY
UNION. N. J:
(If credential is obtained from the State Nurses' Association, use this half of the form.)
This certifies that
a graduate of
School of Nursing
located at
(CITY)
(STATE)
is a member in good standing of the
State Nurses' Association which carries with it membership
in the American Nurses' Association, and recommends her for enrollment in the Red Cross Nursing Service.
(SIGNATURE OF OFFICER)
(TITLE)
(ASSOCIATION)
Date
(ADDRESS)
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- Core
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- Type
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Context sent to Scholar
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"ocrText": "FORM 1189\nREV. FEB. 1941\nAMERICAN RED CROSS\nNURSING SERVICE\nPROFESSIONAL AFFILIATION\nThis form is to be sent by the Local Committee directly to the Secretary of the District or State Nurses' Association\nof which the applicant is a member, with circular letter concerning the same (Form 1197).\n(If credential is obtained from a District Nurses' Association use this half of the form.)\nC\nThis certifies that Henrietta Sophia Fitch\na graduate of\nMountainside Hospital\nSchool of Nursing\nlocated at\nMontclair\nNew Jersey\n(CITY)\n(STATE)\nis a member in good standing of District No.\n1\nof the New Jersey\nState Nurses'\nAssociation which carries with it membership in the American Nurses' Association, and recommends her for enroll-\nment in the Red Cross Nursing Service.\nFor the year 1941\nIdelen M (SIGNATURE OF OFFICER) (TITLE)\nDISTRICT No. 1\nNew Jersey State Nurses' Association\n(ASSOCIATION)\nDate JAN 5 1942\nHELEN M. BALSTRAZ\n780 UNION CABURETY PARKWAY\nUNION. N. J:\n(If credential is obtained from the State Nurses' Association, use this half of the form.)\nThis certifies that\na graduate of\nSchool of Nursing\nlocated at\n(CITY)\n(STATE)\nis a member in good standing of the\nState Nurses' Association which carries with it membership\nin the American Nurses' Association, and recommends her for enrollment in the Red Cross Nursing Service.\n(SIGNATURE OF OFFICER)\n(TITLE)\n(ASSOCIATION)\nDate\n(ADDRESS)"
}