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1- Liaby
Form 2816
May 1945
2. Haila
AMERICAN RED CROSS
NOTICE OF SEPARATION OF NURSE FROM MILITARY SERVICE
F
S
To be used by the Red Cross field director to facilitate the joint program of the
American Nurses' Association and the Americon Red Cross for released nurses.
n
To: Chapter Home Service
Date October 14, 1945
Name of chapter
Central Chapter Queens
S
Address of chapter
92-30 Union Hall Street
Jamaica 5, N.Y.
Street and number
City
Staté
5
Anot
Name of nurse
Ralph
Sugan
Shirley
Last
First
Middle
If married, give husband's full name
Date of birth
July 13, 1918
Month
Day
Tear
Give address to which nurse expects to proceed omitting temporary visits en route
88-65 Street and 193rd number Street, Hollis Park dity Gardens, Long Island New state
York 29
A
Approximate date of arrival at above address
Oct. 11, 1945
Date of military
Date of
Serial
appointment Aug. 14,1942 separation Oct.10, --744027
Rank
1st Lt.
100
Reason for separation: Demobilization
X
Disability
Hardship
Other
Has nurse veteran's application for pension on Veterans Administration Form 526 been
filed?
Yes
No
Date
To which organization has power offattorney been given?
(6)
Date
Does nurse expect to do active nursing?
Yes
No
Gleaun Goggins
Fort Dix
Eleanor Goggins
Camp or hospital
Signature of field director or asst. field director
New Jersey
Address
INSTRUCTIONS TO RED CROSS FIELD DIRECTOR: Make four copies for each nurse. Retain copy
[4] for your files; send copy [3] to Area Director Nursing Service; send copies [1] and
[2] to Home Service in the local chapter.
INSTRUCTIONS TO CHAPTER HOME SERVICE: Send copy [1] to chapter recruitment committee or
8
chapter recruitment nurse. If chapter has neither, send copy [1] directly to the state
nurses association. Retain copy [2] for your files.
N
78168M
OCT 18 1945
U
W
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"ocrText": "R\n1- Liaby\nForm 2816\nMay 1945\n2. Haila\nAMERICAN RED CROSS\nNOTICE OF SEPARATION OF NURSE FROM MILITARY SERVICE\nF\nS\nTo be used by the Red Cross field director to facilitate the joint program of the\nAmerican Nurses' Association and the Americon Red Cross for released nurses.\nn\nTo: Chapter Home Service\nDate October 14, 1945\nName of chapter\nCentral Chapter Queens\nS\nAddress of chapter\n92-30 Union Hall Street\nJamaica 5, N.Y.\nStreet and number\nCity\nStaté\n5\nAnot\nName of nurse\nRalph\nSugan\nShirley\nLast\nFirst\nMiddle\nIf married, give husband's full name\nDate of birth\nJuly 13, 1918\nMonth\nDay\nTear\nGive address to which nurse expects to proceed omitting temporary visits en route\n88-65 Street and 193rd number Street, Hollis Park dity Gardens, Long Island New state\nYork 29\nA\nApproximate date of arrival at above address\nOct. 11, 1945\nDate of military\nDate of\nSerial\nappointment Aug. 14,1942 separation Oct.10, --744027\nRank\n1st Lt.\n100\nReason for separation: Demobilization\nX\nDisability\nHardship\nOther\nHas nurse veteran's application for pension on Veterans Administration Form 526 been\nfiled?\nYes\nNo\nDate\nTo which organization has power offattorney been given?\n(6)\nDate\nDoes nurse expect to do active nursing?\nYes\nNo\nGleaun Goggins\nFort Dix\nEleanor Goggins\nCamp or hospital\nSignature of field director or asst. field director\nNew Jersey\nAddress\nINSTRUCTIONS TO RED CROSS FIELD DIRECTOR: Make four copies for each nurse. Retain copy\n[4] for your files; send copy [3] to Area Director Nursing Service; send copies [1] and\n[2] to Home Service in the local chapter.\nINSTRUCTIONS TO CHAPTER HOME SERVICE: Send copy [1] to chapter recruitment committee or\n8\nchapter recruitment nurse. If chapter has neither, send copy [1] directly to the state\nnurses association. Retain copy [2] for your files.\nN\n78168M\nOCT 18 1945\nU\nW"
}