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07 258 'ET 07 29 THE 'II Wong 'II 4844 'OI 18 THE '6 THE uo '8 07 29 WHO '4 esen 07 " 'Seq crep '9 494 THE uo 'S 18 t JO n° 'E S 2 le pue pue 18 ano I SI des se Survey ui THE R e 07 are Form 875-A 5 AMERICAN RED CROSS STATUS CARD-PUBLIC HEALTH NURSE. DEPARTMENT OF NURSING Jacobsen, Marguerite Kerstin Surname Given names Badge No 21314 Permanent Address Girard, Penna, Street and Number 3-30-23 City or Town Temporary Address for Street Q.R.C., and Number greensturg City pa State ! Local Committee Erie, Pa. or Town State Signed DateApplication } 6-3-18 Date received } Not Given Date forwarded to Nat'l Hdqs. { Not Given Date by Div. office 1 6-11-18 Enrolled 1 Date of Birth 3-5-1896 Country born in U.S. Citizenship American Race White Single, married, widow or divorced? Single State which Name of Nearest Relative Mrs. J. Jacobson Relationship Mother Address of Nearest Relative Girard, Pa. Preliminary Education. High School 4 yrs. Graduated from Hamot Hosp. Tr. School, Erie, Pa. 5-16-1917 (State date)

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Source index
0
Type
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Media ID
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Size
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Context sent to Scholar

Document identity
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Document source extras
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