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UZG NATIONAL OFFICERS FORM 1045 REV. 2-16-31 HERBERT HOOVER, PRESIDENT CENTRAL COMMITTEE ROBERT W. DE FOREST. VICE PRESIDENT JOHN BARTON PAYNE, CHAIRMAN CALVIN COOLIDGE. VICE PRESIDENT CHARLES EVANS HUGHES. VICE PRESIDENT THE AMERICAN RED CROSS MRS. AUGUST BELMONT CORNELIUS N. BLISS MABEL T. BOARDMAN THOMAS D. THACHER, COUNSELOR NATIONAL HEADQUARTERS JOSEPH P. COTTON OGDEN L. MILLS. TREASURER MRS. HENRY P. DAVISON MABEL T. BOARDMAN, SECRETARY WASHINGTON, D.C. MRS. FRANK v. HAMMAR MAJ. GEN. M. w. IRELAND SAMUEL KNIGHT NATIONAL EXECUTIVE OFFICERS OGDEN L. MILLS GUSTAVUS D. POPE JOHN BARTON PAYNE, CHAIRMAN MRS. HENRY R. REA JAMES L. FIESER. VICE CHAIRMAN REAR ADMIRAL CHARLES E. RIGGS JOHN D. RYAN ERNEST P. BICKNELL. VICE CHAIRMAN GEORGE E. SCOTT JAMES K. McCLINTOCK, VICE CHAIRMAN HENRY UPSON SIMS THOMAS D. THACHER ELIOT WADSWORTH 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 enclosed envelope, at the earliest possible date. IMPORTANT: In order to render prompt service Yours sincerely, in time of disaster, enrolled Red Cross Chairman or Nurses should report at once to the Secretary. Secretary of the Local Committee under which they are enrolled. Do not forget Local Committee. the address of the Secretary Margery E Gagan true Forge Jr Name in full If married, give husband's name James J yagani Permanent address 1559 STREET, ETC. clay Sam CITY Francisco COUNTY Calef STATE Probable address for the next year Same STREET. ETC. Telephone No gray 8909 CITY COUNTY STATE Name and address of nearest relative or friend, in United States, through whom you may Mrs H. E. Force St Paul Theback (Mother) be communicated with in an emergency. (State relationship) Underline the type of work you are now doing Army - Navy - U.S.P.H. Hospital - U.S. Vet. Hospital U.S. Indian Service - Public Health - Institutional Private Duty - Industrial Office Nurse - Registrar Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? No Have you ever been? no Indicate present physical condition good war Would you respond to an emergency call in event of epidemic, disaster, war, etc.? Badge No 12862 Current date may 21-1931 (only 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": "UZG\nNATIONAL OFFICERS\nFORM 1045 REV. 2-16-31\nHERBERT HOOVER, PRESIDENT\nCENTRAL COMMITTEE\nROBERT W. DE FOREST. VICE PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nCALVIN COOLIDGE. VICE PRESIDENT\nCHARLES EVANS HUGHES. VICE PRESIDENT\nTHE AMERICAN RED CROSS\nMRS. AUGUST BELMONT\nCORNELIUS N. BLISS\nMABEL T. BOARDMAN\nTHOMAS D. THACHER, COUNSELOR\nNATIONAL HEADQUARTERS\nJOSEPH P. COTTON\nOGDEN L. MILLS. TREASURER\nMRS. HENRY P. DAVISON\nMABEL T. BOARDMAN, SECRETARY\nWASHINGTON, D.C.\nMRS. FRANK v. HAMMAR\nMAJ. GEN. M. w. IRELAND\nSAMUEL KNIGHT\nNATIONAL EXECUTIVE OFFICERS\nOGDEN L. MILLS\nGUSTAVUS D. POPE\nJOHN BARTON PAYNE, CHAIRMAN\nMRS. HENRY R. REA\nJAMES L. FIESER. VICE CHAIRMAN\nREAR ADMIRAL CHARLES E. RIGGS\nJOHN D. RYAN\nERNEST P. BICKNELL. VICE CHAIRMAN\nGEORGE E. SCOTT\nJAMES K. McCLINTOCK, VICE CHAIRMAN\nHENRY UPSON SIMS\nTHOMAS D. THACHER\nELIOT WADSWORTH\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 enclosed envelope, at the earliest possible date.\nIMPORTANT:\nIn order to render prompt service\nYours sincerely,\nin time of disaster, enrolled Red Cross\nChairman or\nNurses should report at once to the\nSecretary.\nSecretary of the Local Committee under\nwhich they are enrolled. Do not forget\nLocal Committee.\nthe address of the Secretary\nMargery E Gagan true Forge\nJr\nName in full\nIf married, give husband's name\nJames J yagani\nPermanent address 1559 STREET, ETC. clay Sam CITY Francisco COUNTY Calef STATE\nProbable address for the next year\nSame\nSTREET. ETC.\nTelephone No gray 8909\nCITY\nCOUNTY\nSTATE\nName and address of nearest relative or friend, in United States, through whom you may\nMrs H. E. Force St Paul Theback (Mother)\nbe communicated with in an emergency. (State relationship)\nUnderline the type of work\nyou are now doing Army - Navy - U.S.P.H. Hospital - U.S. Vet. Hospital U.S. Indian\nService - Public Health - Institutional Private Duty - Industrial Office Nurse\n-\nRegistrar\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?\nNo\nHave you ever been?\nno\nIndicate present physical condition good\nwar\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.?\nBadge No 12862\nCurrent date\nmay 21-1931 (only\nNOTE.--If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be annulled."
}