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e
a
+
5,
L
THE AMERICAN NATIONAL RED CROSS
-
FORM 1169
REV. 5-20-36
NURSING SERVICE
rail
This certifies that
Virginia Heath
is a graduate of
Evanston Hospital
School of Nursing
G
located at
Illinois
&
and is a
r
Resident or Active x
Individual
x.. Non-resident
member of the following
T
E
Society Nurses Association of. theCounties of Long Island, Inc.
which recommends her for enrolment as a Red Cross Nurse.
Ettul & Pain R.h
Secretary (or Treasurer) of Association, or
Exec. Secretary, State Nurses' Association.
Room 501, One Hanson Place, Brooklyn, N.Y.
Address
Is your Society affiliated with:
The American Nurses' Association?
Yes
The State Association?
Yes
Is the applicant affiliated, through your Society, with the State Nurses' Association
and the American Nurses' Association?
Yes
Date
4/16/40
8
NOTE.
- - This form is to be sent direct to the Secretary of the Society of which the
applicant is a member, with circular letter concerning the same (Form 1197)
2
6
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"ocrText": "I\ne\na\n+\n5,\nL\nTHE AMERICAN NATIONAL RED CROSS\n-\nFORM 1169\nREV. 5-20-36\nNURSING SERVICE\nrail\nThis certifies that\nVirginia Heath\nis a graduate of\nEvanston Hospital\nSchool of Nursing\nG\nlocated at\nIllinois\n&\nand is a\nr\nResident or Active x\nIndividual\nx.. Non-resident\nmember of the following\nT\nE\nSociety Nurses Association of. theCounties of Long Island, Inc.\nwhich recommends her for enrolment as a Red Cross Nurse.\nEttul & Pain R.h\nSecretary (or Treasurer) of Association, or\nExec. Secretary, State Nurses' Association.\nRoom 501, One Hanson Place, Brooklyn, N.Y.\nAddress\nIs your Society affiliated with:\nThe American Nurses' Association?\nYes\nThe State Association?\nYes\nIs the applicant affiliated, through your Society, with the State Nurses' Association\nand the American Nurses' Association?\nYes\nDate\n4/16/40\n8\nNOTE.\n- - This form is to be sent direct to the Secretary of the Society of which the\napplicant is a member, with circular letter concerning the same (Form 1197)\n2\n6"
}