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Form 1045
NATIONAL OFFICERS
CENTRAL COMMITTEE
CALVIN COOLIDGE. 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
WILLIAM D. MITCHELL, COUNSELOR
MRS. HENRY P. DAVISON
GARRARD B. WINSTON. TREASURER
NATIONAL HEADQUARTERS
. B. DOUGLAS
JOSEPH C. GREW
MABEL T. BOARDMAN. SECRETARY
WASHINGTON, D.C.
MRS. FRANK v. HAMMAR
HERBERT HOOVER
MAJ. GEN. M. w. IRELAND
NATIONAL EXECUTIVE OFFICERS
WILLIAM D. MITCHELL
w. W. MORROW
JOHN BARTON PAYNE, CHAIRMAN
GUSTAVUS D. POPE
JAMES L. FIESER, VICE CHAIRMAN
MRS. HENRY R. REA
JOHN D. RYAN
ERNEST P. BICKNELL, VICE CHAIRMAN
GEORGE E. SCOTT
REAR ADMIRAL E. R. STITT
GARRARD B. WINSTON
march 26 1 1927
lefter 17 of
Dear Madam:
As you undoubtedly know, 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 know that you are very busy, but 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 the enclosed envelope, at the earliest possible date.
Yours sincerely,
Filmer Black
Chairman or
Secretary.
223S. Cheny
Local Committee.
Richmond Us
Name in full Namine Jacquilin Minor
-
If married, give husband's name
Permanent
address 922 Floyd ave. Richwond, r=
Probable address for the next year Same
Telephone No. B. 6175-g
Name and (State address relationship) of nearest relative John B. minor (bortem)
1702 Packs 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? no
Indicate present physical condition Fair
Would you respond to an emergency call in event of epidemic, disaster, war, etc.? yes
Badge No. 1338
Current date march 26-1927
NOTE.--I the nurse does not complete and return this questionnaire, and can not be
located within two years, her enrollment will be annulled.
Page data
- Page
- 27
- Source index
- 0
- Type
- photo
- Media ID
- d99a9b25756307b6
- Size
- unknown
Document data
- ID
- 2661986
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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"collections": [
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Document source extras
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"coverageEndDate": {
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"logicalDate": "1934-02-21",
"month": 2,
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"logicalDate": "1911-03-14",
"month": 3,
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Page context
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"ocrText": "Form 1045\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nCALVIN COOLIDGE. 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\nWILLIAM D. MITCHELL, COUNSELOR\nMRS. HENRY P. DAVISON\nGARRARD B. WINSTON. TREASURER\nNATIONAL HEADQUARTERS\n. B. DOUGLAS\nJOSEPH C. GREW\nMABEL T. BOARDMAN. SECRETARY\nWASHINGTON, D.C.\nMRS. FRANK v. HAMMAR\nHERBERT HOOVER\nMAJ. GEN. M. w. IRELAND\nNATIONAL EXECUTIVE OFFICERS\nWILLIAM D. MITCHELL\nw. W. MORROW\nJOHN BARTON PAYNE, CHAIRMAN\nGUSTAVUS D. POPE\nJAMES L. FIESER, VICE CHAIRMAN\nMRS. HENRY R. REA\nJOHN D. RYAN\nERNEST P. BICKNELL, VICE CHAIRMAN\nGEORGE E. SCOTT\nREAR ADMIRAL E. R. STITT\nGARRARD B. WINSTON\nmarch 26 1 1927\nlefter 17 of\nDear Madam:\nAs you undoubtedly know, the National Committee on Red Cross Nursing Service\nrequires us to submit, annually, a list of all the Red Cross Nurses enrolled with our\nCommittee, with their latest addresses. We know that you are very busy, but we are\nextremely anxious to make a very complete report to National Headquarters and ask for\nyour cooperation. Please answer the following questions and return this form to me,\nin the enclosed envelope, at the earliest possible date.\nYours sincerely,\nFilmer Black\nChairman or\nSecretary.\n223S. Cheny\nLocal Committee.\nRichmond Us\nName in full Namine Jacquilin Minor\n-\nIf married, give husband's name\nPermanent\naddress 922 Floyd ave. Richwond, r=\nProbable address for the next year Same\nTelephone No. B. 6175-g\nName and (State address relationship) of nearest relative John B. minor (bortem)\n1702 Packs 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\nof Red Cross classes in Home Hygiene and care of the Sick? no\nHave you ever been? no\nIndicate present physical condition Fair\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.? yes\nBadge No. 1338\nCurrent date march 26-1927\nNOTE.--I the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled."
}