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M
1. Mr. LeFevre
2. Accounts
Form 104A
Rev. Mar. 1941
AMERICAN RED CROSS
TRAVEL AND ADVANCE AUTHORITY
February 20
19.43
Miss Reba Elizabeth Mumma
is authorized to travel as follows:
Departing from Toledo, Ohio
,
on April 5
19.43 to
Hawaii, via San Franciaco, California
and
a
returning to
on or about
, 19
The purpose of the trip is for service as Staff Nurse, OCD, Hawaii
The travel is to be by train
APPROVED:
NAME AND TITLE
Assistant Director, Nursing Service
NAME AND TITLE
(If the places to be visited are too numerous for the space provided they should be listed in the space pro-
vided on the reverse side of this form with respective dates for each point.
*If travel is to be by any method other than common carrier the basis for reimbursement of travel expense
shall be clearly stated.)
Accounting Department:
Please advance to Miss Reba Elizabeth Mumma
the sum of Three hundred and no/100
Dollars ($ 300.00
).
encumbering appropriation
I
for official expenditures, to be accounted for, in connection with trip to Hawaii for service as
Staff Nurse with OCD
D
APPROVED:
NAME AND TITLE
Assistant Director, Nursing Service
NAME AND TITLE
(PREPARE ONE COPY ONLY. SEE REVERSE SIDE.)
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"ocrText": "M\n1. Mr. LeFevre\n2. Accounts\nForm 104A\nRev. Mar. 1941\nAMERICAN RED CROSS\nTRAVEL AND ADVANCE AUTHORITY\nFebruary 20\n19.43\nMiss Reba Elizabeth Mumma\nis authorized to travel as follows:\nDeparting from Toledo, Ohio\n,\non April 5\n19.43 to\nHawaii, via San Franciaco, California\nand\na\nreturning to\non or about\n, 19\nThe purpose of the trip is for service as Staff Nurse, OCD, Hawaii\nThe travel is to be by train\nAPPROVED:\nNAME AND TITLE\nAssistant Director, Nursing Service\nNAME AND TITLE\n(If the places to be visited are too numerous for the space provided they should be listed in the space pro-\nvided on the reverse side of this form with respective dates for each point.\n*If travel is to be by any method other than common carrier the basis for reimbursement of travel expense\nshall be clearly stated.)\nAccounting Department:\nPlease advance to Miss Reba Elizabeth Mumma\nthe sum of Three hundred and no/100\nDollars ($ 300.00\n).\nencumbering appropriation\nI\nfor official expenditures, to be accounted for, in connection with trip to Hawaii for service as\nStaff Nurse with OCD\nD\nAPPROVED:\nNAME AND TITLE\nAssistant Director, Nursing Service\nNAME AND TITLE\n(PREPARE ONE COPY ONLY. SEE REVERSE SIDE.)"
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