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Form 1045 NATIONAL OFFICERS CENTRAL COMMITTEE JOHN BARTON PAYNE, CHAIRMAN CALVIN COOLIDGE. PRESIDENT MRS. AUGUST BELMONT ROBERT w. DE FOREST, VICE PRESIDENT CORNELIUS N. BLISS WILLIAM HOWARD TAFT. VICE PRESIDENT THE AMERICAN RED CROSS MABEL T. BOARDMAN MRS. HENRY P. DAVISON WILLIAM D. MITCHELL, COUNSELOR E. B. DOUGLAS GARRARD B. WINSTON, TREASURER NATIONAL HEADQUARTERS JOSEPH c. GREW MABEL T. BOARDMAN. SECRETARY MRS. FRANK v. HAMMAR WASHINGTON, D.C. HERBERT HOOVER MAJ. GEN. M. W. IRELAND WILLIAM D. MITCHELL NATIONAL EXECUTIVE OFFICERS w. W. MORROW GUSTAVUS D. POPE JOHN BARTON PAYNE, CHAIRMAN MRS. HENRY R. REA JAMES L. FIESER, VICE CHAIRMAN JOHN D. RYAN ERNEST P. BICKNELL, VICE CHAIRMAN GEORGE E. SCOTT REAR ADMIRAL E. R, STITT GARRARD B. WINSTON Dear Madam: Copic. 17-26 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, Flaurus Black. Secretary. Chairman or 2235, Chuny Local Committee. Richmund.ua Name in full Namie Jaegenlin minor If married, give husband's name Permanent address 922 Hoyd ar. Richwond v Probable address for the next year Same Telephone No. B. 6175 - J. Name and address relationship) of nearest relative Brocter John B. mumor (State 1021 Floyd are. Richmond rs Underline the type of work you are now doing: - Army - Navy - P. 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 good Would you respond to an emergency call in event of epidemic, disaster, war, etc.? yes Badge No. Current date april - 1926 NOTE.--If 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
28
Source index
0
Type
photo
Media ID
67db619ccfed66fd
Size
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Document data

ID
2661986
Core
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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": [
        "Records of the American National Red Cross",
        "Historical Nurse Files"
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Document source extras
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    "url": "https://catalog.archives.gov/id/2661986",
    "naId": 2661986,
    "coverageEndDate": {
        "day": 21,
        "logicalDate": "1934-02-21",
        "month": 2,
        "year": 1934
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    "coverageStartDate": {
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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\nJOHN BARTON PAYNE, CHAIRMAN\nCALVIN COOLIDGE. PRESIDENT\nMRS. AUGUST BELMONT\nROBERT w. DE FOREST, VICE PRESIDENT\nCORNELIUS N. BLISS\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nTHE AMERICAN RED CROSS\nMABEL T. BOARDMAN\nMRS. HENRY P. DAVISON\nWILLIAM D. MITCHELL, COUNSELOR\nE. B. DOUGLAS\nGARRARD B. WINSTON, TREASURER\nNATIONAL HEADQUARTERS\nJOSEPH c. GREW\nMABEL T. BOARDMAN. SECRETARY\nMRS. FRANK v. HAMMAR\nWASHINGTON, D.C.\nHERBERT HOOVER\nMAJ. GEN. M. W. IRELAND\nWILLIAM D. MITCHELL\nNATIONAL EXECUTIVE OFFICERS\nw. W. MORROW\nGUSTAVUS D. POPE\nJOHN BARTON PAYNE, CHAIRMAN\nMRS. HENRY R. REA\nJAMES L. FIESER, VICE CHAIRMAN\nJOHN D. RYAN\nERNEST P. BICKNELL, VICE CHAIRMAN\nGEORGE E. SCOTT\nREAR ADMIRAL E. R, STITT\nGARRARD B. WINSTON\nDear Madam:\nCopic. 17-26\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,\nFlaurus Black. Secretary.\nChairman or\n2235, Chuny\nLocal Committee.\nRichmund.ua\nName in full Namie Jaegenlin minor\nIf married, give husband's name\nPermanent address\n922 Hoyd ar. Richwond v\nProbable address for the next year Same\nTelephone No. B. 6175 - J.\nName and address relationship) of nearest relative Brocter John B. mumor\n(State\n1021 Floyd are. Richmond rs\nUnderline the type of work\nyou are now doing: - Army - Navy - P. 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?\nno\nHave you ever been? no\nIndicate present physical condition good\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.? yes\nBadge No.\nCurrent date april - 1926\nNOTE.--If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled."
}