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shave FORM No. 469-(2) THE AMERICAN RED CROSS 19458 ENROLLMENT FORM M W Voyage number From Nursing Department To THE DIVISION OF TRANSPORTATION, BUREAU OF PERSONNEL. Date 5-3-18 C.L.B Approval of Director, Bureau of Personnel of Approved carry 1. Name Shane Edna L. 19458 2. Address 97 W. Main St. Benton Harbor, Mich 3. Temporary address, if any 4. Going to what countries France 5. Nature of work Nursing, No5 6. Suggested rank 7. Length of stay (six months or over?) 1 year or mo re 8. Proposed approximate date of departure May 2Bndk 1918 6-5 (x) Sailed 9-21 9. Cable number in compliance with which above is being sent Swan Schedille, N-5 10. Is appointee volunteer? No. 11. If not volunteer, what salary per month is promised? $ 60.00 12. To begin May 11th 13. What allowance, if any, for transportation in United States? $ yes, both ways 14. What allowance, if any, for transportation (steamship)? $ Yes, both ways 15. What allowance, if any, for living expenses prior to departure? $ 3.00 a day for time in New York 16. What allowance, if any, for uniform equipment? $ Yes, regulation equipment 17. What allowance, if any, for living expenses abroad? $ Yes, regulation allowance 18. Is there to be an assignment of part or all of salary? 19. Has the proper form been sent to the Life Extension Institute? Division of Transportation, PLEASE LEAVE THE FOLLOWING LINES BLANK. Correspondence checked: Note 5/6/18 5/6 Forms 1-5 night letter 7-7n-8 Mailed 5/66 Clerk of the circuit Court at. st. Joseph Application for passport filed Date Issued Reservation Cancelled Cabled Cancelled

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86
Source index
0
Type
photo
Media ID
182c86f726c64afc
Size
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2662240
Core
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Type
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Document source extras
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Page context
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    "ocrText": "shave\nFORM No. 469-(2)\nTHE AMERICAN RED CROSS\n19458\nENROLLMENT FORM\nM\nW\nVoyage number\nFrom Nursing Department\nTo\nTHE DIVISION OF TRANSPORTATION,\nBUREAU OF PERSONNEL.\nDate\n5-3-18\nC.L.B\nApproval of Director,\nBureau of Personnel\nof\nApproved carry\n1. Name\nShane Edna L.\n19458\n2. Address\n97 W. Main St. Benton Harbor, Mich\n3. Temporary address, if any\n4. Going to what countries\nFrance\n5. Nature of work\nNursing, No5\n6. Suggested rank\n7. Length of stay (six months or over?)\n1 year or mo re\n8. Proposed approximate date of departure\nMay 2Bndk 1918 6-5 (x) Sailed 9-21\n9. Cable number in compliance with which above is being sent\nSwan Schedille, N-5\n10. Is appointee volunteer?\nNo.\n11. If not volunteer, what salary per month is promised? $ 60.00\n12. To begin May 11th\n13. What allowance, if any, for transportation in United States? $ yes, both ways\n14. What allowance, if any, for transportation (steamship)? $ Yes, both ways\n15. What allowance, if any, for living expenses prior to departure? $ 3.00 a day for time in New York\n16. What allowance, if any, for uniform equipment? $ Yes, regulation equipment\n17. What allowance, if any, for living expenses abroad? $ Yes, regulation allowance\n18. Is there to be an assignment of part or all of salary?\n19. Has the proper form been sent to the Life Extension Institute?\nDivision of Transportation,\nPLEASE LEAVE THE FOLLOWING LINES BLANK.\nCorrespondence checked:\nNote\n5/6/18\n5/6\nForms\n1-5 night letter 7-7n-8\nMailed\n5/66\nClerk of the\ncircuit\nCourt at. st. Joseph\nApplication for passport filed\nDate\nIssued\nReservation\nCancelled\nCabled\nCancelled"
}