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K 0 NATIONAL OFFICERS CENTRAL COMMITTEE HERBERT HOOVER, PRESIDENT JOHN BARTON PAYNE, CHAIRMAN ROBERT w. DE FOREST, VICE PRESIDENT MRS. AUGUST BELMONT CALVIN COOLIDGE, VICE PRESIDENT THE AMERICAN RED CROSS CORNELIUS N. BLISS MABEL T. BOARDMAN CHARLES EVANS HUGHES. VICE PRESIDENT JOSEPH P. COTTON THOMAS D. THACHER, COUNSELOR MIDWESTERN BRANCH MRS. HENRY P. DAVISON OGDEN L. MILLS, TREASURER MRS. FRANK v. HAMMAR MABEL T. BOARDMAN, SECRETARY 1709 WASHINGTON AVE. MAJ. GEN. M. w. IRELAND SAMUEL KNIGHT ST. LOUIS, MO. OGDEN L. MILLS NATIONAL EXECUTIVE OFFICERS GUSTAVUS D. POPE MRS. HENRY R. REA JOHN BARTON PAYNE, CHAIRMAN WM. M. BAXTER, JR. REAR ADMIRAL CHARLES E. RIGGS JOHN D. RYAN JAMES L. FIESER, Vice CHAIRMAN ERNEST P. BICKNELL, VICE CHAIRMAN ASSISTANT TO TRE vice CHAIRMAN GEORGE E. SCOTT HENRY UPSON SIMS JAMES K. Meclintock. Vicis CHAIRMAN 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 Furses enrolled with our Committee, with their latest addresses. We are extremely andious te make a very complete report to Nation al Headquarters and ask for your ceoperation. Please enswer the following questions and return this form to me, in enclosed envelege, at the earliest possible date. Yours singemely, IMPORTANT: Chairman or Sarah E.Zeller In order to render prompt ser- Secretary vice in time of disaster, enrelled Topeka Kansas Red Cross nurses should report at Local Committee. once to the Secretary of the Local 635 Fillmore St. Committee under which they are en- rolled. Do not forget the address of the-Secretary. Name in full Pylin Age If married, give husband's name Permanent address (Street, etc.) (City) Kausas (state) Address for the next year alion (Street, etc.) Telephone No. 389-X (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) sister many Chaning St. Kausas 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? Have you ever been? Indicate present physicel condition good Would to an call in event of digaster, war, etc. ?. you respond emergency epidemic, (neceing Badge No. 255-09 Current date Feb. 2 NOTE - If the nurse does not complete and return this questionnaire, and can not be located within two years, her enrollment will be annulled. 5 Form 1045. 5 D=653 0 1881---FIFTY YEARS OF SERVICE TO HUMANITY---9911

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    "ocrText": "K\n0\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nHERBERT HOOVER, PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nROBERT w. DE FOREST, VICE PRESIDENT\nMRS. AUGUST BELMONT\nCALVIN COOLIDGE, VICE PRESIDENT\nTHE AMERICAN RED CROSS\nCORNELIUS N. BLISS\nMABEL T. BOARDMAN\nCHARLES EVANS HUGHES. VICE PRESIDENT\nJOSEPH P. COTTON\nTHOMAS D. THACHER, COUNSELOR\nMIDWESTERN BRANCH\nMRS. HENRY P. DAVISON\nOGDEN L. MILLS, TREASURER\nMRS. FRANK v. HAMMAR\nMABEL T. BOARDMAN, SECRETARY\n1709 WASHINGTON AVE.\nMAJ. GEN. M. w. IRELAND\nSAMUEL KNIGHT\nST. LOUIS, MO.\nOGDEN L. MILLS\nNATIONAL EXECUTIVE OFFICERS\nGUSTAVUS D. POPE\nMRS. HENRY R. REA\nJOHN BARTON PAYNE, CHAIRMAN\nWM. M. BAXTER, JR.\nREAR ADMIRAL CHARLES E. RIGGS\nJOHN D. RYAN\nJAMES L. FIESER, Vice CHAIRMAN\nERNEST P. BICKNELL, VICE CHAIRMAN\nASSISTANT TO TRE vice CHAIRMAN\nGEORGE E. SCOTT\nHENRY UPSON SIMS\nJAMES K. Meclintock. Vicis CHAIRMAN\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 Furses enrolled with our Committee, with their\nlatest addresses. We are extremely andious te make a very complete report to Nation\nal Headquarters and ask for your ceoperation. Please enswer the following questions\nand return this form to me, in enclosed envelege, at the earliest possible date.\nYours singemely,\nIMPORTANT:\nChairman or\nSarah E.Zeller\nIn order to render prompt ser-\nSecretary\nvice in time of disaster, enrelled\nTopeka Kansas\nRed Cross nurses should report at\nLocal Committee.\nonce to the Secretary of the Local\n635 Fillmore St.\nCommittee under which they are en-\nrolled. Do not forget the address\nof the-Secretary.\nName in full\nPylin\nAge\nIf married, give husband's name\nPermanent address (Street, etc.) (City) Kausas (state)\nAddress for the next year\nalion\n(Street, etc.)\nTelephone No. 389-X\n(City)\n(County)\n(State)\nName and address of nearest relative or friend, in United States, through whom you\nmay be communicated with in an emergency. (State relationship)\nsister many Chaning St. Kausas\nUnderline the type of work\nyou are now doing: - Army - Navy - U.S.P.H. Hospital - U. S. Vet. Hospital\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?\nHave you ever been?\nIndicate present physicel condition\ngood\nWould to an call in event of digaster, war, etc. ?.\nyou respond emergency epidemic, (neceing\nBadge No. 255-09\nCurrent date Feb.\n2\nNOTE - If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled.\n5\nForm 1045.\n5\nD=653\n0\n1881---FIFTY YEARS OF SERVICE TO HUMANITY---9911"
}