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Form No. 469-(1)
THE AMERICAN RED CROSS
ENROLLMENT FORM
SAN FRANCISCO
Central Division
EMBARKATITI
To
BUREAU OF PERSONNEL,
From Nu: rs ing Service
American Red Cross Headquarters,
Date
May 14, 1919.
4 Place de la Concorde, Paris, France.
Approved Elsbrish H. trughma
1. Name
Mill, Gertrude Elizabeth (Nurse)
2.
Address % Hermann R. Mill 2316 Western Ave., Seattle, Wash.
3. Temporary address, if any 795 Cass Avenue, Detroit, Mich. (to date of assignment)
4. Going to what countries
Siberia
5. Nature of work Red Cross Nurse
6. Suggested rank
7. Length of stay (six months or over ?) One year or less at option of Siberian Commission
8. Proposed approximate date of departure 6/19/19 Booked
Sailed
9. Cable number in compliance with which above is being sent Siberian Cable #55
10. Is appointee volunteer?
No
o
day of departure
11. If not volunteer, what salary per month is promised? $ 70.00
12. To begin for Senk
Seattle
13. What allowance, if any, for transportation in United States? $ to xxancisco. and return
Seattle
14. What allowance, if any, for transportation (steamship) ? $
to destination and return
15. What allowance, if any, for living expenses prior to departure? $ 4.00 per day from day requested to
report in to day of sailing
Seattle
16. What allowance, if any, for uniform equipment? $
Req visitioned in New York
17. What allowance, if any, for living expenses abroad? $
Yes, Regular allowance
18. Is there to be an assignment of part or all of salary ?
Yes.
$20.00 per month
19. Has the proper form been sent to the Life Extension Institute? Accepted
INSTRUCTIONS TO APPLICANT
Where allowances mentioned above are to be paid in America, payment will be made at the New York
office, 222 Fourth Avenue, near 18th Street.
In case you wish to assign part of your salary to any one in the United States, please indicate such as-
signment in duplicate on the attached forms and return to the Bureaeu of Personnel, American Red Cross,
Washington, D.C. This is the only form that can be accepted for these assignments.
Questions pertaining to rank are determined entirely in the Paris office. Any reference to rank in the
above is a suggestion only.
I have noted carefully the above.
(Signed) Gertrude Elisabet mill
NOTE.-Signature should not be affixed until applicant has been accepted, when this document will be forwarded to applicant
for signature, by Bureau of Personnel, American Red Cross, Washington, D. C., to whom it should be returned.
Date of Birth - June 22, 1883.
Page data
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Document data
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- Core
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- Type
- document
DTO data
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"ocrText": "Form No. 469-(1)\nTHE AMERICAN RED CROSS\nENROLLMENT FORM\nSAN FRANCISCO\nCentral Division\nEMBARKATITI\nTo\nBUREAU OF PERSONNEL,\nFrom Nu: rs ing Service\nAmerican Red Cross Headquarters,\nDate\nMay 14, 1919.\n4 Place de la Concorde, Paris, France.\nApproved Elsbrish H. trughma\n1. Name\nMill, Gertrude Elizabeth (Nurse)\n2.\nAddress % Hermann R. Mill 2316 Western Ave., Seattle, Wash.\n3. Temporary address, if any 795 Cass Avenue, Detroit, Mich. (to date of assignment)\n4. Going to what countries\nSiberia\n5. Nature of work Red Cross Nurse\n6. Suggested rank\n7. Length of stay (six months or over ?) One year or less at option of Siberian Commission\n8. Proposed approximate date of departure 6/19/19 Booked\nSailed\n9. Cable number in compliance with which above is being sent Siberian Cable #55\n10. Is appointee volunteer?\nNo\no\nday of departure\n11. If not volunteer, what salary per month is promised? $ 70.00\n12. To begin for Senk\nSeattle\n13. What allowance, if any, for transportation in United States? $ to xxancisco. and return\nSeattle\n14. What allowance, if any, for transportation (steamship) ? $\nto destination and return\n15. What allowance, if any, for living expenses prior to departure? $ 4.00 per day from day requested to\nreport in to day of sailing\nSeattle\n16. What allowance, if any, for uniform equipment? $\nReq visitioned in New York\n17. What allowance, if any, for living expenses abroad? $\nYes, Regular allowance\n18. Is there to be an assignment of part or all of salary ?\nYes.\n$20.00 per month\n19. Has the proper form been sent to the Life Extension Institute? Accepted\nINSTRUCTIONS TO APPLICANT\nWhere allowances mentioned above are to be paid in America, payment will be made at the New York\noffice, 222 Fourth Avenue, near 18th Street.\nIn case you wish to assign part of your salary to any one in the United States, please indicate such as-\nsignment in duplicate on the attached forms and return to the Bureaeu of Personnel, American Red Cross,\nWashington, D.C. This is the only form that can be accepted for these assignments.\nQuestions pertaining to rank are determined entirely in the Paris office. Any reference to rank in the\nabove is a suggestion only.\nI have noted carefully the above.\n(Signed) Gertrude Elisabet mill\nNOTE.-Signature should not be affixed until applicant has been accepted, when this document will be forwarded to applicant\nfor signature, by Bureau of Personnel, American Red Cross, Washington, D. C., to whom it should be returned.\nDate of Birth - June 22, 1883."
}