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M
M
a
D
N.
5
Uhe Ameriran TRed Urnas
5
NEW YORK STATE BRANCH
Application for General Nursing Service
+
a
1.
Namein full: anna flacoline Meswell Rill.
2. Address: 412 70" H 3. Telephone No.: 273-79
C
Relative Name:
miss k.g. morwell
4.
or
Friend
Address:
25. Maywood all They buy mou.
5.
Age. 5.8 6. Are you a citizen of the U. S.? Jand
7.
Of what training school for Nurses are you a graduate?
The Berton city Le.
8. Date of graduation.
1880
9. Are Jam
you registered in New York State?
10. Of what Nursing Organizations are you a member? Bestna
Luft docuty mannettan
hen yourl lato association as as
Give name and address of the following officers:
Name:
Pres.
Address:
Name:
Sec'y.
Address:
11. Do you enroll for paid or volunteer nursing service in the Red
Cross?
volunteer
12. What experience have you had since graduation, in private, in-
stitutional or district nursing; in sanitary inspection, in epi-
demics, and in investigation for giving discriminate relief?
Laft Zs. Phoula of muntered Heaft
hew Regland Hasth Man General Huft
In charge of Red any huring Stewng Huft
W Luller His futal the Tarly then Harpe
camh Thound Park ya
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