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M a 5 9 (t + Fl (b THE AMERICAN RED CROSS DIVISION OF TRANSPORTATION RECORD M W I Voyage number a From To DIVISION OF Files AND RECORDS, Mise Delano 2 Fursing Dept. 6 BUREAU OF PERSONNEL. Date Jan. 9, 1918 Approved Jane A. Delano F 1. Name Felice Du Bouchet Mange 5 2. Address Sutton, Manor, New Rochelle, N. Y. + 3. Temporary address, if any 4. Going to what countries France 5. Nature of work Infant Welfare 6. Suggested rank 7. Length of stay (six months or over?) 1 year or mose 8. Proposed approximate date of departure Jan. 23 Booked Sailed 9. Cable number in compliance with which above is being sent 1861 10. State steps taken to verify loyalty of above appointee. Red Cross Nurse, Native Bord 11. Volunteer? No Chargeable to Appropriation No. 12. Salary per month $.60 13. To begin Jan. a 3 14. Allowance for transportation in United States Yes no 15. Allowance for transportation (steamship) Yes 16. Allowance for living expenses prior to departure no Yes 17. Allowance for expense of inoculations and vaccination No 18. Allowance for uniform and equipment $ Yes 19. Allowance for living expenses abroad Yes 20. Is there to be an assignment of part or all of salary? 4

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