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Richardson, Frances Adeline Park

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FORM 1045 REV. JAN 1941 76 yr old ar AMERICAN RED CROSS has had perious operation NATIONAL HEADQUARTERS l believe Breast WASHINGTON, D. c. Name in full Richardson Frances Year of Birth 1865 (SURNAME) (FIRST) (MIDDLE) Husband's name Permanent address 60 merrick St, Worrester Worester Massachueets, (STREET) (CITY) (COUNTY) (STATE) Probable for the next address year 60 merrick St. Workster Workster Massachusett (STREET) (CITY) (COUNTY) (STATE) Telephone number Worcester, mass, 2-5982 (EXCHANGE) (NO.) Give name and address of nearest relative or friend in United States: A mrs Edith m whidden. Friend 12 Hackfeld Rd Workster mard, (NAME) (RELATIONSHIP) (ADDRESS) PRESENT EMPLOYMENT (check below) Name of agency or institution with which employed notemployed Institutional Public Health Private duty Other (write in) Government Service: Army U.S.P.H. Service Veterans Administration Navy U.S.Indian Service Children's Bureau MAJOR RESPONSIBILITIES Adminis Super Teach- General Private Other of present employment tration vision ing Staff Duty (specify) IF NOT EMPLOYED IN NURSING check field of nursing with which you are most familiar: Institutional Public Health Private duty X Other (WRITE IN) AVAILABILITY At the present time would you Date accept assignment to the Army? Yes No Navy? Yes No available In case of a war emergency would you accept assignment to the Army? Yes No Navy? Yes No If not now employed would you accept nursing work? Full-time? Yes No Part-time? Yes No In your own community? Yes No Elsewhere? Yes No Would you be interested in teaching classes in Home Hygiene and Care of the Sick? No Present physical condition and am 7 5 years old now, and natury strong, l cannot promise anything much as l would like to len Badge No. 13407 mass usefula Current date Jan 28 1941, Name of Committee Workster Country Committee Thiss K A Cullen 8 Currently Rd, uncertion Syster this/Dhirts for Note: If a nurse does not complete and return this questionnaire, and cannot be located within two years, her enrollment will be removed from our active files.

Page data

Page
12
Source index
0
Type
photo
Media ID
5643b8667034d636
Size
unknown

Document data

ID
2662163
Core
doc
Type
document
DTO data 
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Context sent to Scholar

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Document source extras 
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    "naId": 2662163,
    "coverageEndDate": {
        "day": 12,
        "logicalDate": "1942-02-12",
        "month": 2,
        "year": 1942
    },
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        "month": 7,
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Page context 
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    "ocrText": "FORM 1045\nREV. JAN 1941\n76 yr old\nar\nAMERICAN RED CROSS\nhas had perious operation\nNATIONAL HEADQUARTERS\nl believe Breast\nWASHINGTON, D. c.\nName in full Richardson Frances\nYear of Birth 1865\n(SURNAME)\n(FIRST)\n(MIDDLE)\nHusband's name\nPermanent address 60 merrick St, Worrester Worester Massachueets,\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nProbable for the next address year 60 merrick St. Workster Workster Massachusett\n(STREET)\n(CITY)\n(COUNTY)\n(STATE)\nTelephone number Worcester, mass, 2-5982\n(EXCHANGE)\n(NO.)\nGive name and address of nearest relative or friend in United States:\nA\nmrs Edith m whidden. Friend 12 Hackfeld Rd Workster mard,\n(NAME)\n(RELATIONSHIP)\n(ADDRESS)\nPRESENT EMPLOYMENT (check below)\nName of agency or institution with which employed\nnotemployed\nInstitutional\nPublic Health\nPrivate duty\nOther (write in)\nGovernment Service: Army\nU.S.P.H. Service\nVeterans Administration\nNavy\nU.S.Indian Service\nChildren's Bureau\nMAJOR RESPONSIBILITIES Adminis\nSuper\nTeach-\nGeneral\nPrivate\nOther\nof present employment tration\nvision\ning\nStaff\nDuty\n(specify)\nIF NOT EMPLOYED IN NURSING check field of nursing with which you are most familiar:\nInstitutional\nPublic Health\nPrivate duty\nX\nOther\n(WRITE IN)\nAVAILABILITY\nAt the present time would you\nDate\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\navailable\nIn case of a war emergency would you\naccept assignment to the Army? Yes\nNo\nNavy? Yes\nNo\nIf not now employed would you\naccept nursing work? Full-time? Yes\nNo\nPart-time? Yes\nNo\nIn your own community? Yes\nNo\nElsewhere? Yes\nNo\nWould you be interested in teaching classes in Home Hygiene and Care of the Sick?\nNo\nPresent physical condition and am 7 5 years old now, and natury strong,\nl cannot promise anything much as l would like to len\nBadge No. 13407\nmass\nusefula\nCurrent date Jan 28 1941,\nName of Committee Workster Country Committee\nThiss K A Cullen 8 Currently Rd, uncertion Syster this/Dhirts for\nNote: If a nurse does not complete and return this questionnaire, and cannot be located\nwithin two years, her enrollment will be removed from our active files."
}