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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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Document data
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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."
}