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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
CORNELIUS N. BLISS
WILLIAM HOWARD TAFT. VICE PRESIDENT
THE AMERICAN RED CROSS
MABEL T. BOARDMAN
WILLIAM D. MITCHELL, COUNSELOR
MRS. HENRY P. DAVISON
GARRARD B. WINSTON. TREASURER
NATIONAL HEADQUARTERS
E. B. DOUGLAS
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
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,
IMPORTANT:
Luella m Erior Chairman Secretary.
or
In order to render prompt service
in time of disaster, enrolled Red Cross
nurses should report at once to the
Secretary of the Local Committee under
SanDiegs Local Committee.
which they are enrolled. Do not forget
the address of the Secretary.
Name in full
mrs H. L. I ruin
If married, give husband's name
H.f. Irwin
Permanent address
3519 Utah ST San Diego
Probable address for the next year
Same
Telephone No. HC 2742 m
Name and
address of nearest relative H.f. Iruine. (husband)
(State relationship)
Underline the type of work
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 present physical condition good
Would you respond to emergency call event of epidemic, disaster, war, etc.? yes
an in
Badge No. 11322
Current date
June 1927
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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- Core
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Context sent to Scholar
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"ocrText": "Form 1045\nNATIONAL OFFICERS\n+\nCENTRAL COMMITTEE\nCALVIN COOLIDGE. PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nROBERT W. DE FOREST, VICE PRESIDENT\nMRS. AUGUST BELMONT\nCORNELIUS N. BLISS\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nTHE AMERICAN RED CROSS\nMABEL T. BOARDMAN\nWILLIAM D. MITCHELL, COUNSELOR\nMRS. HENRY P. DAVISON\nGARRARD B. WINSTON. TREASURER\nNATIONAL HEADQUARTERS\nE. B. DOUGLAS\nJOSEPH C. GREW\nMABEL T. BOARDMAN. SECRETARY\nWASHINGTON, D. C.\nMRS. FRANK V. HAMMAR\nHERBERT HOOVER\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\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,\nIMPORTANT:\nLuella m Erior Chairman Secretary.\nor\nIn order to render prompt service\nin time of disaster, enrolled Red Cross\nnurses should report at once to the\nSecretary of the Local Committee under\nSanDiegs Local Committee.\nwhich they are enrolled. Do not forget\nthe address of the Secretary.\nName in full\nmrs H. L. I ruin\nIf married, give husband's name\nH.f. Irwin\nPermanent address\n3519 Utah ST San Diego\nProbable address for the next year\nSame\nTelephone No. HC 2742 m\nName and\naddress of nearest relative H.f. Iruine. (husband)\n(State relationship)\nUnderline the type of work\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?\nno\nHave you ever been?\nno\nIndicate present physical condition good\nWould you respond to emergency call event of epidemic, disaster, war, etc.? yes\nan in\nBadge No. 11322\nCurrent date\nJune 1927\nNOTE. - If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled."
}