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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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"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"
}