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Form No. 469-(2) 9.79 THE AMERICAN RED CROSS ENROLLMENT FORM M W Voyage number From To THE DIVISION OF TRANSPORTATION, Atlantic Division Date BUREAU OF PERSONNEL. 7-24-18 Approval of Director, Approved Bureau of Personnel I. Nam Nurse 2. Address c/o Mrs Snodden, Crotona Park, 3. Temporary address, if any 4. Going to what countries France 5. Nature of work Nursing, M.N.1 6. Suggested rank 7. Length of stay (six months or over ?) 1. year or more 8. Proposed approximate date of departure Booked Sailed 9. Cable number in compliance with which above is being sent Stan Schedule, M.N.1 IO. Is appointee volunteer II. If not volunteer, what salary per month is promised ?$ 60.00 12. To begin 13. What allowance, if any, for transportation in United States? $ To New York and return 14. What allowance, if any, for transportation (steamship) $ destination and return I5. What allowance, if any, for living expenses prio Qdeparturef $ am date requested to report in 16. What allowance, if any, for uniform equipment? $ 1.3. to Day of smiling 17. What allowance, if any, for living expenses abroad? Required tioned at New York offi Yes, regulation allowance 18. Is there to be an assignment of part or all of salary ? 19. Has the proper form been sent to the Life Extension Institute? Division of Transportation, PLEASE LEAVE THE FOLLOWING LINES BLANK. Correspondence checked: Note Forms Mailed Clerk of the Court at Application for passport filed Date Issued Reservation Cancelled Cabled Cancelled

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25
Source index
0
Type
photo
Media ID
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Size
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ID
2661552
Core
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Type
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DTO data
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Context sent to Scholar

Document identity
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Document source metadata
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    "collections": [
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Document source extras
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    "naId": 2661552,
    "coverageEndDate": {
        "day": 27,
        "logicalDate": "1942-01-27",
        "month": 1,
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    },
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        "day": 4,
        "logicalDate": "1918-06-04",
        "month": 6,
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    },
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Page context
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    "ocrText": "Form No. 469-(2)\n9.79\nTHE AMERICAN RED CROSS\nENROLLMENT FORM\nM\nW\nVoyage number\nFrom\nTo\nTHE DIVISION OF TRANSPORTATION,\nAtlantic Division\nDate\nBUREAU OF PERSONNEL.\n7-24-18\nApproval of Director,\nApproved\nBureau of Personnel\nI. Nam\nNurse\n2. Address\nc/o Mrs Snodden, Crotona Park,\n3. Temporary address, if any\n4. Going to what countries\nFrance\n5. Nature of work\nNursing, M.N.1\n6. Suggested rank\n7. Length of stay (six months or over ?)\n1. year or more\n8. Proposed approximate date of departure\nBooked\nSailed\n9. Cable number in compliance with which above is being sent\nStan Schedule, M.N.1\nIO. Is appointee volunteer\nII. If not volunteer, what salary per month is promised ?$ 60.00\n12. To begin\n13. What allowance, if any, for transportation in United States? $\nTo New York and return\n14. What allowance, if any, for transportation (steamship) $\ndestination and return\nI5. What allowance, if any, for living expenses prio Qdeparturef $ am date requested to report in\n16. What allowance, if any, for uniform equipment? $\n1.3. to Day of smiling\n17. What allowance, if any, for living expenses abroad?\nRequired tioned at New York offi\nYes, regulation allowance\n18. Is there to be an assignment of part or all of salary ?\n19. Has the proper form been sent to the Life Extension Institute?\nDivision of Transportation,\nPLEASE LEAVE THE FOLLOWING LINES BLANK.\nCorrespondence checked:\nNote\nForms\nMailed\nClerk of the\nCourt at\nApplication for passport filed\nDate\nIssued\nReservation\nCancelled\nCabled\nCancelled"
}