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FORM 1045, REV. 7-9-32 NATIONAL OFFICERS CENTRAL COMMITTEE HERBERT HOOVER. PRESIDENT JOHN BARTON PAYNE, CHAIRMAN CALVIN COOLIDGE, VICE PRESIDENT THE AMERICAN RED CROSS ARTHUR A. BALLANTINE CHARLES EVANS HUGHES, VICE PRESIDENT MRS. AUGUST BELMONT THOMAS D. THACHER, COUNSELOR CORNELIUS N. BLISS NATIONAL HEADQUARTERS MABEL T. BOARDMAN ARTHUR A. BALLANTINE, TREASURER WILLIAM R. CASTLE. JR. MABEL T. BOARDMAN, SECRETARY WASHINGTON, D. C. MRS. HENRY P. DAVISON MRS. FRANK v. HAMMAR NATIONAL EXECUTIVE OFFICERS 1/28/35 SAMUEL KNIGHT MAJ. GEN. ROBERT U. PATTERSON GUSTAVUS D. POPE JOHN BARTON PAYNE. CHAIRMAN MRS. HENRY R. REA JAMES L. FIESER, VICE CHAIRMAN REAR ADMIRAL CHARLES E. RIGGS JOHN D. RYAN ERNEST P. BICKNELL. VICE CHAIRMAN GEORGE E. SCOTT JAMES K. McCLINTOCK. VICE CHAIRMAN HENRY UPSON SIMS THOMAS D. THACHER ELIOT WADSWORTH Dear Madam: 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 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 enclosed envelope, at the earliest possible date. IMPORTANT: Yours sincerely, In order to render prompt service Emma Rae mc Lead Chairman or in time of disaster, enrolled Red Cross Secretary. Nurses should report at once to the Secretary of the Local Committee under new Brunwweek Local Committee. which they are enrolled. Do not forget m. the address of the Secretary. Name in full Helen Ls Kerrigan If married, give husband's name Permanent address monmouth (STREET, ETC) an Rumsow (CITY) monmouth (COUNTY) (STATE) Probable address for the next year same (STREET, ETC.) Telephone No. 410 Rumson (CITY) (COUNTY) (STATE) Name and address of nearest relative or friend, in United States, through whom you may be communicated with in an emergency. (State relationship) miss m Q Briin monmouth are, Rumson new Jeroy Underline the type of work you are now doing: Army - Navy - U.S.P.H. Service - U.S. Vet. Administration - U.S. Indian Service - 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? yes Have you ever been? yes Indicate present physical condition good Would you respond to an call event war, emergency in of epidemic, disaster, etc. ? yes. Badge No. 730 Current date Feb 13th 1935 NOTE.--If the nurse does not complete and return this questionnaire, and can not be located within two years, her enrolment will be annulled.

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    "ocrText": "FORM 1045, REV. 7-9-32\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nHERBERT HOOVER. PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nCALVIN COOLIDGE, VICE PRESIDENT\nTHE AMERICAN RED CROSS\nARTHUR A. BALLANTINE\nCHARLES EVANS HUGHES, VICE PRESIDENT\nMRS. AUGUST BELMONT\nTHOMAS D. THACHER, COUNSELOR\nCORNELIUS N. BLISS\nNATIONAL HEADQUARTERS\nMABEL T. BOARDMAN\nARTHUR A. BALLANTINE, TREASURER\nWILLIAM R. CASTLE. JR.\nMABEL T. BOARDMAN, SECRETARY\nWASHINGTON, D. C.\nMRS. HENRY P. DAVISON\nMRS. FRANK v. HAMMAR\nNATIONAL EXECUTIVE OFFICERS\n1/28/35\nSAMUEL KNIGHT\nMAJ. GEN. ROBERT U. PATTERSON\nGUSTAVUS D. POPE\nJOHN BARTON PAYNE. CHAIRMAN\nMRS. HENRY R. REA\nJAMES L. FIESER, VICE CHAIRMAN\nREAR ADMIRAL CHARLES E. RIGGS\nJOHN D. RYAN\nERNEST P. BICKNELL. VICE CHAIRMAN\nGEORGE E. SCOTT\nJAMES K. McCLINTOCK. VICE CHAIRMAN\nHENRY UPSON SIMS\nTHOMAS D. THACHER\nELIOT WADSWORTH\nDear Madam:\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a list of all the Red Cross Nurses enrolled with our Committee, with their\nlatest addresses. We are extremely anxious to make a very complete report to National\nHeadquarters and ask for your cooperation. Please answer the following questions and\nreturn this form to me, in enclosed envelope, at the earliest possible date.\nIMPORTANT:\nYours sincerely,\nIn order to render prompt service\nEmma Rae mc Lead\nChairman or\nin time of disaster, enrolled Red Cross\nSecretary.\nNurses should report at once to the\nSecretary of the Local Committee under\nnew Brunwweek Local Committee.\nwhich they are enrolled. Do not forget\nm.\nthe address of the Secretary.\nName in full Helen Ls Kerrigan\nIf married, give husband's name\nPermanent address monmouth (STREET, ETC) an Rumsow (CITY) monmouth (COUNTY) (STATE)\nProbable address for the next year\nsame\n(STREET, ETC.)\nTelephone No. 410 Rumson\n(CITY)\n(COUNTY)\n(STATE)\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nmiss m Q Briin monmouth are, Rumson new Jeroy\nUnderline the type of work you are now doing:\nArmy - Navy - U.S.P.H. Service - U.S. Vet. Administration - U.S. Indian Service -\nPublic Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?\nyes\nHave you ever been?\nyes\nIndicate present physical condition good\nWould you respond to an call event war,\nemergency in of epidemic, disaster, etc. ? yes.\nBadge No. 730\nCurrent date Feb 13th 1935\nNOTE.--If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be annulled."
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