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FORM 1045
REV. 1-2-35
THE AMERICAN RED CROSS
NATIONAL HEADQUARTERS
WASHINGTON, D. c.
Dear Madam:
The National Committee on Red Cross Nursing Service requires us to submit,
annually, a report of all the Red Cross Nurses enrolled with our Committee. Will you
therefore, please answer the following questions and return this form to me, in the
enclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED
WITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-
ognize the value of filing this information and will return the questionnaire promptly,
as we are extremely anxious to make a very complete report to National Headquarters.
IMPORTANT:
In order to render prompt service
Yours sincerely,
in time of disaster, enrolled Red Cross
Marguerite Norway, Secretary
Chairman or
Nurses should report at once to the
LOCAL RED CROSS COMMITTEE
Secretary.
Secretary of the Local Committee under
which they are enrolled. Do not forget
1218 Menlo Ave
Local Committee.
the address of the Secretary.
Los Angeles, California
Name in full Jone Elizabether Stepheneon Lamb
0
If married,
give husband's name Clarence alfred Lamb
-
Permanent address (STREET, ETC.) ave (CITY) Los (COUNTY Angeles
5425 Dellinglam
California
(STATE)
Probable address for the next year
5425 Bellingham (STREET ETC.) Ave, north Holollywood
Telephone No. N.If. 2952W.
no. abollywood (CITY) Los (COUNTY) Angeles
California
(STATE)
Name and address of nearest relative or friend, in United States, through whom you may
be communicated with in an emergency. (State relationship)
Underline Mrs. B. the F-Farley of (sister) are now Sinsland, doing: California
type work you
Army - Navy - U.S.P.H. Service - Veterans 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? no
Have you ever been? no
Indicate present physical condition Good
Would you respond to an emergency call in event of etc.?
Badge No. 3085 20385
epidemic, disaster, war, yes
Current date March 23, 1938
NOTE. If the nurse does not complete and return this questionnaire, and can not be
located within two years, her enrolment will be removed from our active files.
Page data
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Document data
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- Core
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- Type
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Context sent to Scholar
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"ocrText": "FORM 1045\nREV. 1-2-35\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D. c.\nDear Madam:\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a report of all the Red Cross Nurses enrolled with our Committee. Will you\ntherefore, please answer the following questions and return this form to me, in the\nenclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED\nWITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-\nognize the value of filing this information and will return the questionnaire promptly,\nas we are extremely anxious to make a very complete report to National Headquarters.\nIMPORTANT:\nIn order to render prompt service\nYours sincerely,\nin time of disaster, enrolled Red Cross\nMarguerite Norway, Secretary\nChairman or\nNurses should report at once to the\nLOCAL RED CROSS COMMITTEE\nSecretary.\nSecretary of the Local Committee under\nwhich they are enrolled. Do not forget\n1218 Menlo Ave\nLocal Committee.\nthe address of the Secretary.\nLos Angeles, California\nName in full Jone Elizabether Stepheneon Lamb\n0\nIf married,\ngive husband's name Clarence alfred Lamb\n-\nPermanent address (STREET, ETC.) ave (CITY) Los (COUNTY Angeles\n5425 Dellinglam\nCalifornia\n(STATE)\nProbable address for the next year\n5425 Bellingham (STREET ETC.) Ave, north Holollywood\nTelephone No. N.If. 2952W.\nno. abollywood (CITY) Los (COUNTY) Angeles\nCalifornia\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)\nUnderline Mrs. B. the F-Farley of (sister) are now Sinsland, doing: California\ntype work you\nArmy - Navy - U.S.P.H. Service - Veterans 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? no\nHave you ever been? no\nIndicate present physical condition Good\nWould you respond to an emergency call in event of etc.?\nBadge No. 3085 20385\nepidemic, disaster, war, yes\nCurrent date March 23, 1938\nNOTE. If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be removed from our active files."
}