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FORM 1045-A REV. 7.9.32 NATIONAL OFFICERS + CENTRAL COMMITTEE FRANKLIN D. ROOSEVELT, PRESIDENT JOHN BARTON PAYNE, CHAIRMAN CHARLES EVANS HUGHES, VICE PRESIDENT DEAN G. ACHESON HERBERT HOOVER. VICE PRESIDENT THE AMERICAN RED CROSS MRS. AUGUST BELMONT JAMES CRAWFORD BIGGS JAMES CRAWFORD BIGGS. COUNSELOR CORNELIUS N. BLISS DEAN G. ACHESON, TREASURER NATIONAL HEADQUARTERS MABEL MABEL T. BOARDMAN, SECRETARY MRS. HENRY P. DAVISON WASHINGTON, D. C. WILLIAM FORTUNE SAMUEL KNIGHT NATIONAL EXECUTIVE OFFICERS MAJ. GEN. ROBERT U. PATTERSON WILLIAM PHILLIPS JOHN BARTON PAYNE. CHAIRMAN GUSTAVUS D. POPE JAMES L. FIESER, VICE CHAIRMAN MRS. HENRY R. REA REAR ADMIRAL PERCEVAL S. ROSSITER ERNEST P. BICKNELL. VICE CHAIRMAN JAMES K. McCLINTOCK, VICE CHAIRMAN FEB 9 1935 GEORGE E. SCOTT HENRY UPSON SIMS ALFRED E. SMITH ELIOT WADSWORTH F813 1935 Dear Madam: The National Committee on Red Cross Nursing Service requires us to submit, annually, a list of all enrolled Red Cross Nurses with their latest addresses. We are extremely anxious to make a very complete report and ask for your cooperation. Will you kindly answer the following questions and return this form to me, in the enclosed envelope, at the earliest possible date? Yours sincerely, IMPORTANT: In order to render prompt service Clasa D.noyes in time of disaster, enrolled Red Cross Nurses should report at once to the National Director, Secretary of the Local Committee under Red Cross Nursing Service which they are enrolled. Do not forget the address of the Secretary. Name in full Lucy If married, give husband's name Permanent address R.F.D.#3 Wexwedrea ye (STREET, ETC.) (CITY) (COUNTY) (STATE) Probable address for the next year Same (STREET, ETC.) Telephone No. na 5710 B3321 Wash. ( of ancial) (CITY) (COUNTY) (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 the type of work you are now doing: Army - Navy - U.S.P.H. Service - U.S. Vet. 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? Have you ever been? no Indicate present physical condition Parg Would you respond to an emergency call in event of epidemic, etc.? disaster, war, y Badge No. 14.8 Current date 2-11-35 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.

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33
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    "ocrText": "FORM 1045-A REV. 7.9.32\nNATIONAL OFFICERS\n+\nCENTRAL COMMITTEE\nFRANKLIN D. ROOSEVELT, PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nCHARLES EVANS HUGHES, VICE PRESIDENT\nDEAN G. ACHESON\nHERBERT HOOVER. VICE PRESIDENT\nTHE AMERICAN RED CROSS\nMRS. AUGUST BELMONT\nJAMES CRAWFORD BIGGS\nJAMES CRAWFORD BIGGS. COUNSELOR\nCORNELIUS N. BLISS\nDEAN G. ACHESON, TREASURER\nNATIONAL HEADQUARTERS\nMABEL\nMABEL T. BOARDMAN, SECRETARY\nMRS. HENRY P. DAVISON\nWASHINGTON, D. C.\nWILLIAM FORTUNE\nSAMUEL KNIGHT\nNATIONAL EXECUTIVE OFFICERS\nMAJ. GEN. ROBERT U. PATTERSON\nWILLIAM PHILLIPS\nJOHN BARTON PAYNE. CHAIRMAN\nGUSTAVUS D. POPE\nJAMES L. FIESER, VICE CHAIRMAN\nMRS. HENRY R. REA\nREAR ADMIRAL PERCEVAL S. ROSSITER\nERNEST P. BICKNELL. VICE CHAIRMAN\nJAMES K. McCLINTOCK, VICE CHAIRMAN\nFEB 9 1935\nGEORGE E. SCOTT\nHENRY UPSON SIMS\nALFRED E. SMITH\nELIOT WADSWORTH\nF813 1935\nDear Madam:\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a list of all enrolled Red Cross Nurses with their latest addresses. We are\nextremely anxious to make a very complete report and ask for your cooperation. Will\nyou kindly answer the following questions and return this form to me, in the enclosed\nenvelope, at the earliest possible date?\nYours sincerely,\nIMPORTANT:\nIn order to render prompt service\nClasa D.noyes\nin time of disaster, enrolled Red Cross\nNurses should report at once to the\nNational Director,\nSecretary of the Local Committee under\nRed Cross Nursing Service\nwhich they are enrolled. Do not forget\nthe address of the Secretary.\nName in full\nLucy\nIf married, give husband's name\nPermanent address R.F.D.#3 Wexwedrea\nye\n(STREET, ETC.)\n(CITY)\n(COUNTY)\n(STATE)\nProbable address for the next year\nSame\n(STREET, ETC.)\nTelephone No. na 5710 B3321\nWash.\n( of ancial)\n(CITY)\n(COUNTY)\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 the type of work you are now doing:\nArmy - Navy - U.S.P.H. Service - U.S. Vet. 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?\nHave you ever been?\nno\nIndicate\npresent physical condition Parg\nWould you respond to an emergency call in event of epidemic, etc.?\ndisaster, war, y\nBadge No. 14.8\nCurrent date\n2-11-35\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."
}