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0 M all D 5 Confidential 5 PERSONAL shiet (To be filled out in triplicate) Calestine L To the Secretary and Treasurer, Red Cross Commission to 0 1. Full name Anne Louisz O' m alley a 2. Complete home address 5917 whilney st, Oakland, California v 3. Date and place of birth December14, 1875 Clinton, man e 4. Nationality (if foreign born date and place of maturalization) 5. Name of father Austin Joseph O. malley 6. Name of mother Elizabeth Clune malley 7. Dote and place of birth of fothEr DEC. 25.1852 Clinton mans 8. Date and place of birth of mother Feb. 12 , 1852 Workster man - Clinton, High school. June 1893 - 9. Floco and dotos of groduction Worester city Hospital aug 1900 10. Titlo and dograo if any 11. Brigf Statement of exporionco Taught in man. Public Schools 8 yr. Private nursing in homes and hospitals in manilap.i 1. 4yr Supervision Hospital muso St. Luhes, manila 7 months - Private nursing in morester man 6 years 12. What lengungos spokon English h Official connection with Commiscio: Cublic Health Thurse, Palestine unit 13. 14. Amount of compensation (monthly) und $60.00 cllowance, if any Board. some clothing equip ment 15. In the event it is desirod any nort of your compensition and to be paid to any porson in Amorica so state, giving full nemo address. 20.00 a mo. Austin of omalley, 5917 Whitney St. Oakland , California 16. Numbor .nd deccription of of bassags / S uit ease / stramer trunk, 36 in long of hold all

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Page
47
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0
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2662070
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Document source extras
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Page context
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    "ocrText": "0\nM\nall\nD\n5\nConfidential\n5\nPERSONAL shiet (To be filled out in triplicate) Calestine\nL\nTo the Secretary and Treasurer, Red Cross Commission to\n0\n1.\nFull name\nAnne Louisz O' m alley\na\n2.\nComplete home address 5917 whilney st, Oakland, California\nv\n3.\nDate and place of birth December14, 1875 Clinton, man\ne\n4.\nNationality (if foreign born\ndate and place of maturalization)\n5.\nName of father Austin Joseph O. malley\n6.\nName of mother Elizabeth Clune malley\n7. Dote and place of birth of fothEr DEC. 25.1852 Clinton mans\n8. Date and place of birth of mother Feb. 12 , 1852 Workster man -\nClinton, High school. June 1893\n-\n9. Floco and dotos of groduction Worester city Hospital aug 1900\n10.\nTitlo and dograo if any\n11.\nBrigf Statement of exporionco Taught in man. Public Schools 8 yr.\nPrivate nursing in homes and hospitals in manilap.i 1. 4yr\nSupervision Hospital muso St. Luhes, manila 7 months -\nPrivate nursing in morester man 6 years\n12.\nWhat lengungos spokon English h\nOfficial connection with Commiscio: Cublic Health Thurse, Palestine unit\n13.\n14.\nAmount of compensation (monthly) und $60.00\ncllowance, if any Board. some clothing equip ment\n15. In the event it is desirod any nort of your compensition and to be\npaid to any porson in Amorica so state, giving full nemo\naddress.\n20.00 a mo.\nAustin of omalley, 5917 Whitney St.\nOakland , California\n16. Numbor .nd deccription of of bassags / S uit ease\n/ stramer trunk, 36 in long of hold all"
}