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Form 1045 NATIONAL OFFICERS CALVIN COOLIDGE. PRESIDENT + CENTRAL COMMITTEE JOHN BARTON PAYNE, CHAIRMAN MRS. AUGUST BELMONT ROBERT W. DE FOREST. VICE PRESIDENT CORNELIUS N. BLISS WILLIAM HOWARD TAFT. VICE PRESIDENT THE AMERICAN RED CROSS MABEL T. BOARDMAN MRS. HENRY P. DAVISON WILLIAM D. MITCHELL, COUNSELOR E. B. DOUGLAS GARDARD B. WINSTON, TREASURER NATIONAL HEADQUARTERS JOSEPH C. GREW 3EL T. BOARDMAN. SECRETARY MRS. FRANK v. HAMMAR WASHINGTON, D.C. HERBERT HOOVER MAJ. GEN. M. W. IRELAND WILLIAM D. MITCHELL NATIONAL EXECUTIVE OFFICERS W. W. MORROW GUSTAVUS D. POPE JOHN BARTON PAYNE, CHAIRMAN MRS. HENRY R. REA JAMES L. FIESER, VICE CHAIRMAN 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, Luella M. Exion Chairman Secretary. Sandings, al Local Committee. Name in full If married, give husband's name H.f. drum Permanent address 3648-3/et Street, San Drigo, Calif Probable address for the next year Same Telephone No. H.C. 2519R. Name and address of nearest relative H.f.I ruin , (husband) (State relationship) (Same as above) 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 an emergency call in event of epidemic, disaster, war, etc.? yes. Badge No. 11322 Current date apr, 13, 1926, 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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0
Type
photo
Media ID
15ef19a755702abe
Size
unknown

Document data

ID
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Core
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Type
document
DTO data
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Context sent to Scholar

Document identity
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Document source metadata
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Document source extras
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    "coverageEndDate": {
        "day": 21,
        "logicalDate": "1933-03-21",
        "month": 3,
        "year": 1933
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Page context
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    "ocrText": "Form 1045\nNATIONAL OFFICERS\nCALVIN COOLIDGE. PRESIDENT\n+\nCENTRAL COMMITTEE\nJOHN BARTON PAYNE, CHAIRMAN\nMRS. AUGUST BELMONT\nROBERT W. DE FOREST. VICE PRESIDENT\nCORNELIUS N. BLISS\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nTHE AMERICAN RED CROSS\nMABEL T. BOARDMAN\nMRS. HENRY P. DAVISON\nWILLIAM D. MITCHELL, COUNSELOR\nE. B. DOUGLAS\nGARDARD B. WINSTON, TREASURER\nNATIONAL HEADQUARTERS\nJOSEPH C. GREW\n3EL T. BOARDMAN. SECRETARY\nMRS. FRANK v. HAMMAR\nWASHINGTON, D.C.\nHERBERT HOOVER\nMAJ. GEN. M. W. IRELAND\nWILLIAM D. MITCHELL\nNATIONAL EXECUTIVE OFFICERS\nW. W. MORROW\nGUSTAVUS D. POPE\nJOHN BARTON PAYNE, CHAIRMAN\nMRS. HENRY R. REA\nJAMES L. FIESER, VICE CHAIRMAN\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,\nLuella M. Exion Chairman Secretary.\nSandings, al Local Committee.\nName in full\nIf married, give husband's name\nH.f. drum\nPermanent address 3648-3/et Street, San Drigo, Calif\nProbable address for the next year\nSame\nTelephone No. H.C. 2519R.\nName and address of nearest relative H.f.I ruin , (husband)\n(State relationship)\n(Same as above)\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? no\nIndicate present physical condition good.\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.? yes.\nBadge No. 11322\nCurrent date apr, 13, 1926,\nNOTE. If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled."
}