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Form 1045
NATIONAL OFFICERS
CENTRAL COMMITTEE
CALVIN COOLIDGE. PRESIDENT
Rec'd JUL 1 3 1997
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
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
NATIONAL EXECUTIVE OFFICERS
EX.SEC. MANAGER ASST. MAJ. GEN. D. M. MITCHELL
w. w. MORROW
JOHN BARTON PAYNE, CHAIRMAN
STATISTICS PUBLICITY WAR
GUSTAVOS D. POPE
MRS/HENRY R. REA
JAMES L. FIESER, VICE CHAIRMAN
JOHN D. RYAN
ERNEST P. BICKNELL, VICE CHAIRMAN
JUNIOR FIRST AID NURSING
GEORGE E. SCOTT
REAR ADMIRAL E, R, STITT
GARRARD B. WINSTON
FIELD DISASTER VOLUNTEER
NUTRITION CASE CORRES. ACCOUNTS
p.I.
SUPPLIES RETURN TO
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
alif
filter
7
Committee, with their latest addresses. We know that you are very busy, but we are
T
extremely anxious to make a very complete report to National Headquarters and ask for
abs
your cooperation. Please answer the following questions and return this form to me,
0
in the enclosed envelope, at the earliest possible date.
Yours sincerely,
IMPORTANT:
In order to render prompt service
anne a Williamson R.N. Secretary.
Chairmen or
in time of disaster, enrolled Red Cross
nurses should report at once to the
40s Angeles Local
Committee.
C
Secretary of the Local Committee under
which they are enrolled. Do not forget
2028 Primrose Are BanTh. PasadenaCal.
P.
the address of the Secretary.
.
Name in full
mahel altro Johnson
L
If married, give husband's name
Permanent address
4169 best 6 sx Lasangelis
Doctor P th I IN Johnson
K
Probable address for the next year
Telephone No. trush 6457
same - Callif
Name and address of nearest relative
husband - alone address
(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 - Houseing Registrar
Are you an instructor of Red Cross classes in Home Hygiene and care
of the Sick? ho
Have you ever been?
ho
Indicate present physical condition
good
Would
you respond to an emergency call in event of epidemic, disaster, war, etc.
Badge No. 19,682
Current date
july 8, 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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"ocrText": "Form 1045\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nCALVIN COOLIDGE. PRESIDENT\nRec'd JUL 1 3 1997\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\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\nNATIONAL EXECUTIVE OFFICERS\nEX.SEC. MANAGER ASST. MAJ. GEN. D. M. MITCHELL\nw. w. MORROW\nJOHN BARTON PAYNE, CHAIRMAN\nSTATISTICS PUBLICITY WAR\nGUSTAVOS D. POPE\nMRS/HENRY R. REA\nJAMES L. FIESER, VICE CHAIRMAN\nJOHN D. RYAN\nERNEST P. BICKNELL, VICE CHAIRMAN\nJUNIOR FIRST AID NURSING\nGEORGE E. SCOTT\nREAR ADMIRAL E, R, STITT\nGARRARD B. WINSTON\nFIELD DISASTER VOLUNTEER\nNUTRITION CASE CORRES. ACCOUNTS\np.I.\nSUPPLIES RETURN TO\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\nalif\nfilter\n7\nCommittee, with their latest addresses. We know that you are very busy, but we are\nT\nextremely anxious to make a very complete report to National Headquarters and ask for\nabs\nyour cooperation. Please answer the following questions and return this form to me,\n0\nin the enclosed envelope, at the earliest possible date.\nYours sincerely,\nIMPORTANT:\nIn order to render prompt service\nanne a Williamson R.N. Secretary.\nChairmen or\nin time of disaster, enrolled Red Cross\nnurses should report at once to the\n40s Angeles Local\nCommittee.\nC\nSecretary of the Local Committee under\nwhich they are enrolled. Do not forget\n2028 Primrose Are BanTh. PasadenaCal.\nP.\nthe address of the Secretary.\n.\nName in full\nmahel altro Johnson\nL\nIf married, give husband's name\nPermanent address\n4169 best 6 sx Lasangelis\nDoctor P th I IN Johnson\nK\nProbable address for the next year\nTelephone No. trush 6457\nsame - Callif\nName and address of nearest relative\nhusband - alone address\n(State relationship)\nUnderline the type of work\nyou are now doing:\n- Army - Navy - U.S.P.H.Hospital - U.S.Vet.Hospital - Public\nHealth - Institutional - Private Duty - Industrial - Office Nurse - Houseing Registrar\nAre you an instructor of Red Cross classes in Home Hygiene and care\nof the Sick? ho\nHave you ever been?\nho\nIndicate present physical condition\ngood\nWould\nyou respond to an emergency call in event of epidemic, disaster, war, etc.\nBadge No. 19,682\nCurrent date\njuly 8, 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."
}