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Fl
0
r
s
+
in
in
a
C.
Name
FORSTER, Emma Charlotte
Enrollment N°
Profession
Nurse
Assigned to Russian Island Hospital
Rank
Nationality
Reassigned to
Bureau Location
American (female)
Reassigned to
27
Arrival in Vladivostok June 12th
Date of engagement may rott apr. 29
, 1919
Is appointee a volunteer No
1919 Length of Contract one year
Age 41
years
If not, what salary is promised $70.00
anth
Determined by National Headquarters Yes
Promoted from 12/11/14 Promoted
Commission to Siberia
How paid In Hand ; #9000 from 12/1/19
Is there to be a salary assignment
No
Amount
To be paid by National Headquarters
Commission to Siberia
Beneficiary
Address
State allowances to be granted and total advanced when possible
By National Headquarters
By Commission to Siberia
Transportation Yes
Vo N°
Rs
Equipment
"
Page N°
Rs
Maintenance "
Total
Rs
1-17-20
(Salary total)
Rs
GRAND TOTAL
Rs
Home address
In emergency please notify c/o L. H. Forster,
449 Grand View St., Los Angeles, Cal., U.S.A.
Address
Cor. llth & M. Sts., S.W. Washingt CarefullyA noted the above
APPROVED
Signed
Director
Bureau
I
g
97.
W
of
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