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1045 Rev. 1-7-30 NATIONAL OFFICERS CENTRAL COMMITTEE HERBERT HOOVER. PRESIDENT JOHN BARTON PAYNE. CHAIRMAN ROBERT w. DE FOREST. VICE PRESIDENT MRS. AUGUST BELMONT CORNELIUS N. BLISS WILLIAM HOWARD TAFT. VICE PRESIDENT THE AMERICAN RED CROSS MABEL T. BOARDMAN CALVIN COOLIDGE, VICE PRESIDENT JOSEPH P. COTTON CHARLES EVANS HUGHES, JR.. COUNSELOR NATIONAL HEADQUARTERS MRS. HENRY P. DAVISON E. B. DOUGLAS OGDEN L. MILLS, TREASURER WASHINGTON, D.C. MRS. FRANK v. HAMMAR MABEL T. BOARDMAN. SECRETARY CHARLES EVANS HUGHES, JR. MAJ. GEN. M. W. IRELAND SAMUEL KNIGHT NATIONAL EXECUTIVE OFFICERS OGDEN L. MILLS GUSTAVUS D. POPE JOHN BARTON PAYNE, CHAIRMAN MRS. HENRY R. REA JAMES L. FIESER. VICE CHAIRMAN REAR ADMIRAL CHARLES E. RIGGS JOHN D. RYAN ERNEST P. BICKNELL, VICE CHAIRMAN GEORGE E. SCOTT JAMES K. McCLINTOCK, VICE CHAIRMAN ELIOT WADSWORTH V Dear Madam: man 19- to The National Committee on Red Cross Nursing Service requires us to submit, annually, a list of all the Red Cross Nurses enrolled with our Committee, with their latest addresses. We are extremely anxious to make a very complete report to National Headquarters and ask for your cooperation. Please answer the following questions and return this form to me, in enclosed envelope, at the earliest possible date. IMPORTANT: Yours sincerely, In order to render prompt service in time of disaster, enrolled Red Cross Miss Florence Black Chairman or nurses should report at once to the Secretary; Local Committee Secretary. Secretary of the Local Committee under Red Cross Nursing Service Local Committee. which they are enrolled. Do not forget 922 floyd Avenue the address of the Secretary. Richmond, Va. Name in full If married, give husband's name Permanent address have. Richmond (STREET, ETC.) Virginia (CITY) (COUNTY) (STATE) Probable address for the next year Same (STREET, ETC.) Telephone No. (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) John other 1702 Park are. Richmond v- Underline the type of work you are now doing: - Army - Navy - U.S.P.H. Hospital - U.S.Vet Hospital - 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? no Have you ever been? Indicate present physical condition fair able Would you an emergency call in event of Badge No. 1338 respond to epidemic, March disaster, war, etc. Current date 14 1930 NOTE.--If the nurse does not complete and return this questionnaire, and can not be located within two years, her enrolment will be annulled.

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    "ocrText": "1045 Rev. 1-7-30\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nHERBERT HOOVER. PRESIDENT\nJOHN BARTON PAYNE. CHAIRMAN\nROBERT w. DE FOREST. VICE PRESIDENT\nMRS. AUGUST BELMONT\nCORNELIUS N. BLISS\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nTHE AMERICAN RED CROSS\nMABEL T. BOARDMAN\nCALVIN COOLIDGE, VICE PRESIDENT\nJOSEPH P. COTTON\nCHARLES EVANS HUGHES, JR.. COUNSELOR\nNATIONAL HEADQUARTERS\nMRS. HENRY P. DAVISON\nE. B. DOUGLAS\nOGDEN L. MILLS, TREASURER\nWASHINGTON, D.C.\nMRS. FRANK v. HAMMAR\nMABEL T. BOARDMAN. SECRETARY\nCHARLES EVANS HUGHES, JR.\nMAJ. GEN. M. W. IRELAND\nSAMUEL KNIGHT\nNATIONAL EXECUTIVE OFFICERS\nOGDEN L. MILLS\nGUSTAVUS D. POPE\nJOHN BARTON PAYNE, CHAIRMAN\nMRS. HENRY R. REA\nJAMES L. FIESER. VICE CHAIRMAN\nREAR ADMIRAL CHARLES E. RIGGS\nJOHN D. RYAN\nERNEST P. BICKNELL, VICE CHAIRMAN\nGEORGE E. SCOTT\nJAMES K. McCLINTOCK, VICE CHAIRMAN\nELIOT WADSWORTH\nV\nDear Madam:\nman 19- to\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a list of all the Red Cross Nurses enrolled with our Committee, with their\nlatest addresses. We are extremely anxious to make a very complete report to National\nHeadquarters and ask for your cooperation. Please answer the following questions and\nreturn this form to me, in enclosed envelope, at the earliest possible date.\nIMPORTANT:\nYours sincerely,\nIn order to render prompt service\nin time of disaster, enrolled Red Cross\nMiss Florence Black\nChairman or\nnurses should report at once to the\nSecretary; Local Committee\nSecretary.\nSecretary of the Local Committee under\nRed Cross Nursing Service Local Committee.\nwhich they are enrolled. Do not forget\n922 floyd Avenue\nthe address of the Secretary.\nRichmond, Va.\nName in full\nIf married, give husband's name\nPermanent address\nhave. Richmond\n(STREET, ETC.)\nVirginia\n(CITY)\n(COUNTY)\n(STATE)\nProbable address for the next year\nSame\n(STREET, ETC.)\nTelephone No.\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)\nJohn\nother\n1702 Park are. Richmond v-\nUnderline the type of work\nyou are now doing: - Army - Navy - U.S.P.H. Hospital - U.S.Vet Hospital - Public\nHealth - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no\nHave you ever been?\nIndicate present physical condition fair\nable\nWould you an emergency call in event of\nBadge No.\n1338 respond to epidemic, March disaster, war, etc.\nCurrent date 14 1930\nNOTE.--If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be annulled."
}