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Form 1045 NATIONAL OFFICERS CENTRAL COMMITTEE CALVIN COOLIDGE. PRESIDENT JOHN BARTON PAYNE, CHAIRMAN ROBERT w. DE FOREST, VICE PRESIDENT MRS. AUGUST BELMONT K CORNELIUS N. BLISS WILLIAM HOWARD TAFT. VICE PRESIDENT THE AMERICAN RED CROSS MABEL T. BOARDMAN WILLIAM p. MITCHELL, COUNSELOR MRS, HENRY P. DAVISON GARDARD B. WINSTON, TREASURER NATIONAL HEADQUARTERS E,B. DOUGLAS a JOSEPH c. GREW MABEL T. BOARDMAN. SECRETARY WASHINGTON, D.C. MRS. FRANK v. HAMMAR HERBERT HOOVER + MAJ. GEN. M. w. IRELAND NATIONAL EXECUTIVE OFFICERS WILLIAM D. MITCHELL w. w. MORROW JOHN BARTON PAYNE, CHAIRMAN GUSTAVUS D. POPE JAMES L. FIESER, VICE CHAIRMAN MRS, HENRY R. REA JOHN D. RYAN ERNEST P. BICKNELL. VICE CHAIRMAN GEORGE E. SCOTT REAR ADMIRAL E. R, STITT GARRARD B. WINSTON S Dear Madam: MARCH 1926 As you undoubtedly know, 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 know that you are very busy, but 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 the enclosed envelope, at the earliest possible date. Yours sincerely, Mary Alice me Chainman mahen Secretary or Local Committee. Name in full Kartrarine Wheeler Holmes If married, give husband's name horfolle Co. (Boston Com.) Permanent address Brushwood Farm, Pard LT. Franklin llass Probable address for the next year Same Telephone No. 394-h Name and address of nearest relative Elizabetts L. Holmes (lister) (State relationship) Underline the type of work Farming 115 Shormelife Road, Newton allass you are now doing: - Army - Navy - U.S.P.H.Hospital - U.S.Vet.Hospital - 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 Rhennation present physical condition Would you respond to an emergency call in event of epidemic, disaster, war etc.' ? Badge No. 16590 Itable Current dat'e to pais Uar.22, plipical 1926 exam NOTE. If the nurse does not complete and return this questionnaire, and can not be located within two years, her enrollment will be annulled.

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Context sent to Scholar

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Page context
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    "ocrText": "Form 1045\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nCALVIN COOLIDGE. PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nROBERT w. DE FOREST, VICE PRESIDENT\nMRS. AUGUST BELMONT\nK\nCORNELIUS N. BLISS\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nTHE AMERICAN RED CROSS\nMABEL T. BOARDMAN\nWILLIAM p. MITCHELL, COUNSELOR\nMRS, HENRY P. DAVISON\nGARDARD B. WINSTON, TREASURER\nNATIONAL HEADQUARTERS\nE,B. DOUGLAS\na\nJOSEPH c. GREW\nMABEL T. BOARDMAN. SECRETARY\nWASHINGTON, D.C.\nMRS. FRANK v. HAMMAR\nHERBERT HOOVER\n+\nMAJ. GEN. M. w. IRELAND\nNATIONAL EXECUTIVE OFFICERS\nWILLIAM D. MITCHELL\nw. w. MORROW\nJOHN BARTON PAYNE, CHAIRMAN\nGUSTAVUS D. POPE\nJAMES L. FIESER, VICE CHAIRMAN\nMRS, HENRY R. REA\nJOHN D. RYAN\nERNEST P. BICKNELL. VICE CHAIRMAN\nGEORGE E. SCOTT\nREAR ADMIRAL E. R, STITT\nGARRARD B. WINSTON\nS\nDear Madam:\nMARCH 1926\nAs you undoubtedly know, the National Committee on Red Cross Nursing Service\nrequires us to submit, annually, a list of all the Red Cross Nurses enrolled with our\nCommittee, with their latest addresses. We know that you are very busy, but we are\nextremely anxious to make a very complete report to National Headquarters and ask for\nyour cooperation. Please answer the following questions and return this form to me,\nin the enclosed envelope, at the earliest possible date.\nYours sincerely, Mary Alice me Chainman mahen Secretary or\nLocal Committee.\nName in full Kartrarine Wheeler Holmes\nIf married, give husband's name\nhorfolle Co. (Boston Com.)\nPermanent address Brushwood Farm, Pard LT. Franklin llass\nProbable address for the next year Same\nTelephone No. 394-h\nName and address of nearest relative Elizabetts L. Holmes (lister)\n(State relationship)\nUnderline the type of work Farming\n115 Shormelife Road, Newton allass\nyou are now doing: - Army - Navy - U.S.P.H.Hospital - U.S.Vet.Hospital - Public\nHealth - Institutional - Private Duty - Industrial - Office Nurse - Registrar\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? No\nHave you ever been?\nNo\nIndicate Rhennation\npresent physical condition\nWould you respond to an emergency call in event of epidemic, disaster, war etc.' ?\nBadge No. 16590\nItable Current dat'e to pais Uar.22, plipical 1926 exam\nNOTE. If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled."
}