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Form 1045
NATIONAL OFFICERS
CENTRAL COMMITTEE
CALVIN COOLIDGE. PRESIDENT
JOHN BARTON PAYNE, CHAIRMAN
JAMES M. BECK
ROBERT w. DE FOREST. VICE PRESIDENT
MRS. AUGUST BELMONT
WILLIAM HOWARD TAFT. VICE PRESIDENT
THE AMERICAN RED CROSS
CORNELIUS N. BLISS
MABEL T. BOARDMAN
JAMES M. BECK, COUNSELOR
MRS, HENRY P. DAVISON
ELIOT WADSWORTH, TREASURER
NATIONAL HEADQUARTERS
E.B. DOUGLAS
MABEL T. BOARDMAN. SECRETARY
JOSEPH c. GREW
WASHINGTON, D.C.
MRS. FRANK v. HAMMAR
HERBERT HOOVER
EXECUTIVE OFFICERS
MAJ. GEN. M. w. IRELAND
w. w. MORROW
GUSTAVUS D, POPE
JOHN BARTON PAYNE, CHAIRMAN
MRS. HENRY R. REA
JAMES L. FIESER, VICE CHAIRMAN
JOHN D. RYAN
ERNEST P. BICKNILL. VICE CHAIRMAN
GEORGE E. SCOTT
REAR ADMIRAL E. R. STITT
ELIOT WADSWORTH
Dear Madam:
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,
e
ANNA R. ROSS
Chairman or
SEC'Y
Secretary.
Boston Local Committee.
Name in full Kartianie W. Holmes
If married, give husband's name
Permanent address Pond Street Trauleline
Probable same
address for the next year
Telephone No.
394 - W-
Name and address of nearest relative Elizabeth L. Holmes (sister)
(State relationship)
115 Should Road, Newtu
Underline the type of work you are doing Farmina. Army -Navy U.S.P.I. Hospital
Mast.
U.S.Vet.Hospital - Institutional Public Hoalth Private Duty Industrial.
Are you an instructor of Red Cross classes in Home Hygiene and care of the sick? No
Have you ever been? No
only is guat
Would you respond to an emergency call in event of epidemic, disaster, war, etc. ?ari is very
used nurses
difficult to
Badge No. 16,590.
Current date May 7. 1925
leave -
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\nJAMES M. BECK\nROBERT w. DE FOREST. VICE PRESIDENT\nMRS. AUGUST BELMONT\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nTHE AMERICAN RED CROSS\nCORNELIUS N. BLISS\nMABEL T. BOARDMAN\nJAMES M. BECK, COUNSELOR\nMRS, HENRY P. DAVISON\nELIOT WADSWORTH, TREASURER\nNATIONAL HEADQUARTERS\nE.B. DOUGLAS\nMABEL T. BOARDMAN. SECRETARY\nJOSEPH c. GREW\nWASHINGTON, D.C.\nMRS. FRANK v. HAMMAR\nHERBERT HOOVER\nEXECUTIVE OFFICERS\nMAJ. GEN. M. w. IRELAND\nw. w. MORROW\nGUSTAVUS D, POPE\nJOHN BARTON PAYNE, CHAIRMAN\nMRS. HENRY R. REA\nJAMES L. FIESER, VICE CHAIRMAN\nJOHN D. RYAN\nERNEST P. BICKNILL. VICE CHAIRMAN\nGEORGE E. SCOTT\nREAR ADMIRAL E. R. STITT\nELIOT WADSWORTH\nDear Madam:\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,\ne\nANNA R. ROSS\nChairman or\nSEC'Y\nSecretary.\nBoston Local Committee.\nName in full Kartianie W. Holmes\nIf married, give husband's name\nPermanent address Pond Street Trauleline\nProbable same\naddress for the next year\nTelephone No.\n394 - W-\nName and address of nearest relative Elizabeth L. Holmes (sister)\n(State relationship)\n115 Should Road, Newtu\nUnderline the type of work you are doing Farmina. Army -Navy U.S.P.I. Hospital\nMast.\nU.S.Vet.Hospital - Institutional Public Hoalth Private Duty Industrial.\nAre you an instructor of Red Cross classes in Home Hygiene and care of the sick? No\nHave you ever been? No\nonly is guat\nWould you respond to an emergency call in event of epidemic, disaster, war, etc. ?ari is very\nused nurses\ndifficult to\nBadge No. 16,590.\nCurrent date May 7. 1925\nleave -\nNOTE.- If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled."
}