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CITCO. AT N.M. JAN 1 91943
PM
2
12-8-42
NECESSARY DATA CONCERNING NURSE RECOMMENDED BY COMMITTEE
FOR FOREIGN SERVICE
NAME:
Florence "lizabeth Little
AGE: 45
Address: 261 County Road, Barrington, R.I.
BADGE NO. 40289
NOT ENROLLED
MARITAL STATUS Single
(SINGLE. MARRIED. WIDOWED. DIVORCED)
PRESENT POSITION (nature of work): Staff nurse, Visiting & public health nursing
Agency:
Barrington District Nursing Association
Address: 261 County Road, Barrington, R. I.
WHY INTERESTED:
Wish to help out in War service, and over-age for Army Service.
REFERENCES (two of these must be from nurses) :
NAME: Miss Louise White, R.N C TITLE: Pres.R.I.Hosp. ADDRESS: Highland Ave.,Prov.
Alumni
idence, R.I.
NAME: Miss Lillian Stevens, R. N TITLE: Newport Hosp. StaADDRESS: 30 Calvert St.,
Newport, ..
NAME: Mrs.Henry P. Stone
TITLE: Pres. Nursing ADDRESS: New Meadow Rd. -.,-Bar-
Board, Barrington District rington, R.I.
Nursing Ass'n.
SIGNATURE: thorning L-Lonely COMMITTEE: R. I State any Local
Dahuty ADDRESS: 150 Waterman St. Prin. Rd
Have you sent for school credentials?
Yes
No
Note: If nurse is not enrolled attach completed enrollment application blank (Form 1037)
and report of physical condition (Form 1193).
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- Type
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Document data
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"ocrText": "CITCO. AT N.M. JAN 1 91943\nPM\n2\n12-8-42\nNECESSARY DATA CONCERNING NURSE RECOMMENDED BY COMMITTEE\nFOR FOREIGN SERVICE\nNAME:\nFlorence \"lizabeth Little\nAGE: 45\nAddress: 261 County Road, Barrington, R.I.\nBADGE NO. 40289\nNOT ENROLLED\nMARITAL STATUS Single\n(SINGLE. MARRIED. WIDOWED. DIVORCED)\nPRESENT POSITION (nature of work): Staff nurse, Visiting & public health nursing\nAgency:\nBarrington District Nursing Association\nAddress: 261 County Road, Barrington, R. I.\nWHY INTERESTED:\nWish to help out in War service, and over-age for Army Service.\nREFERENCES (two of these must be from nurses) :\nNAME: Miss Louise White, R.N C TITLE: Pres.R.I.Hosp. ADDRESS: Highland Ave.,Prov.\nAlumni\nidence, R.I.\nNAME: Miss Lillian Stevens, R. N TITLE: Newport Hosp. StaADDRESS: 30 Calvert St.,\nNewport, ..\nNAME: Mrs.Henry P. Stone\nTITLE: Pres. Nursing ADDRESS: New Meadow Rd. -.,-Bar-\nBoard, Barrington District rington, R.I.\nNursing Ass'n.\nSIGNATURE: thorning L-Lonely COMMITTEE: R. I State any Local\nDahuty ADDRESS: 150 Waterman St. Prin. Rd\nHave you sent for school credentials?\nYes\nNo\nNote: If nurse is not enrolled attach completed enrollment application blank (Form 1037)\nand report of physical condition (Form 1193)."
}