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9 Eastern Form 843 A Division Rev. 3-1-22 16 PUBLIC HEALTH NURSES RESIGNATION SLIP Jacobsen, Marguerite K. Name 21314 Enrol. No. Resigned from Westmoreland Co. Greensburg, Pa. ( Name of Chapter or Service ) (City) (State) DATES Assigned 11-1-21 Salary at resignation $175.00 (to above service) Needs a rest Resigned 1-1-26 Reason for resignation Transferred Dismissed is cellent Desirability for future appointment (This should be accompanied by Form 852)

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    "ocrText": "9\nEastern\nForm 843 A\nDivision\nRev. 3-1-22\n16\nPUBLIC HEALTH NURSES RESIGNATION SLIP\nJacobsen, Marguerite K.\nName\n21314\nEnrol. No.\nResigned from Westmoreland Co. Greensburg, Pa.\n( Name of Chapter or Service )\n(City)\n(State)\nDATES\nAssigned 11-1-21\nSalary at resignation\n$175.00\n(to above service)\nNeeds a rest\nResigned 1-1-26\nReason for resignation\nTransferred\nDismissed\nis cellent\nDesirability for future appointment\n(This should be accompanied by Form 852)"
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