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_c
Revised May 20, 1918.
#
22788
L
Top Sheet
Upper portion for Eivisional Record. Also see last portion of application
Mrs
form.
cto
O
L
Recommended by Northern Division for enrollment under Requisition Nurse
If not American citizen, so state, and give citizenship Scotch
a
Is applicant available leaving home two weeks from date full papers are rec'd in
Nashington Yes
Name
Street Address
Anno Forbos Roid
IV. P. Hospital,
3
City Missoula, Montana
Temporary Address to what date
Please check or fill out blanks where possible
Languages spoken
(Location of
Proposed length of stay Duration of war
E-Excellent
Service desired
Full Vo lunteer
No
-Good F-Fair
Volunteer with expenses met by Red Cross No
Is allowance for living abroad to be left to
discretion of foreign Commission? Yes
Allowance for living abroad if not left to
discretion of foreign Commission?
salary over expense allowance if any$70 a month
Allowance for living prior to departure Yes
Requisition for uniform and equipment Yes
Allowance for transportation overseas and re-
turn
Yes
Allowance for transportation in U.S.and return
Yes
Physical Report
Age 27
Loyalty investigation conducted by (Name of agency
Date examined
Date Reported
employed, if any)
None
August 1918
and Report
Aug.30,1918
"A"
List of Loyalty indorsements:
H. B. Smith, Pres. N.P.B.A..St. Paul, Minn. H. R. Boden, Chief clerk, Supt. office,
Rocky Nit. Division, N. ..Bailway Co., Missoula, Mont. Helen M. Cass, Suptl of Nurses,
N. P. Hospital, Missoula, Mont. Harry H. Parsens, Missoula, Mont.
Have passport application and oictures been forwarded No
Date
Headquarters Record (Initial, date, and "o.K." where acceptable)
File Record
Date
Referred to
Classification
Full papers
Provisional Enrollment
a
War Dept. 9/12/18
of
Physical
Actual Enrollment
Remarks
Page data
- Page
- 47
- Source index
- 0
- Type
- photo
- Media ID
- d60598a8934384ae
- Size
- unknown
Document data
- ID
- 2662087
- 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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Document source extras
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"logicalDate": "1931-02-26",
"month": 2,
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Page context
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"ocrText": "e\n_c\nRevised May 20, 1918.\n#\n22788\nL\nTop Sheet\nUpper portion for Eivisional Record. Also see last portion of application\nMrs\nform.\ncto\nO\nL\nRecommended by Northern Division for enrollment under Requisition Nurse\nIf not American citizen, so state, and give citizenship Scotch\na\nIs applicant available leaving home two weeks from date full papers are rec'd in\nNashington Yes\nName\nStreet Address\nAnno Forbos Roid\nIV. P. Hospital,\n3\nCity Missoula, Montana\nTemporary Address to what date\nPlease check or fill out blanks where possible\nLanguages spoken\n(Location of\nProposed length of stay Duration of war\nE-Excellent\nService desired\nFull Vo lunteer\nNo\n-Good F-Fair\nVolunteer with expenses met by Red Cross No\nIs allowance for living abroad to be left to\ndiscretion of foreign Commission? Yes\nAllowance for living abroad if not left to\ndiscretion of foreign Commission?\nsalary over expense allowance if any$70 a month\nAllowance for living prior to departure Yes\nRequisition for uniform and equipment Yes\nAllowance for transportation overseas and re-\nturn\nYes\nAllowance for transportation in U.S.and return\nYes\nPhysical Report\nAge 27\nLoyalty investigation conducted by (Name of agency\nDate examined\nDate Reported\nemployed, if any)\nNone\nAugust 1918\nand Report\nAug.30,1918\n\"A\"\nList of Loyalty indorsements:\nH. B. Smith, Pres. N.P.B.A..St. Paul, Minn. H. R. Boden, Chief clerk, Supt. office,\nRocky Nit. Division, N. ..Bailway Co., Missoula, Mont. Helen M. Cass, Suptl of Nurses,\nN. P. Hospital, Missoula, Mont. Harry H. Parsens, Missoula, Mont.\nHave passport application and oictures been forwarded No\nDate\nHeadquarters Record (Initial, date, and \"o.K.\" where acceptable)\nFile Record\nDate\nReferred to\nClassification\nFull papers\nProvisional Enrollment\na\nWar Dept. 9/12/18\nof\nPhysical\nActual Enrollment\nRemarks"
}