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S Form 1045-B NATIONAL OFFICERS CENTRAL COMMITTEE CALVIN COOLIDGE, PRESIDENT JOHN BARTON PAYNE CHAIRMAN ROBERT w. DE FOREST. Vice PRESIDENT MRS AUGUST BELMONT WILLIAM HOWARD TAFT, Vice PRESIDENT THE AMERICAN RED CROSS CORNELIUS N. BLISS MABEL T. BOARDMAN WILLIAM D. MITCHELL. COUNSELOR MRS. HENRY P. DAVISON OGDEN L. MILLS, TREASURER NATIONAL HEADQUARTERS E. B. DOUGLAS I MRS. FRANK v. HAMMAR MABEL T. BOARDMAN, SECRETARY WASHINGTON, D.C. HERBERT HOOVER MAJ. GEN M. w. IRELAND SAMUEL KNIGHT NATIONAL EXECUTIVE OFFICERS & OGDEN L. MILLS WILLIAM D. MITCHELL JOHN BARTON PAYNE, CHAIRMAN ROBERT E. OLDS JAMES L. FIESER, VICE CHAIRMAN GUSTAVUS D. POPE 5 ERNEST P. BICKNELL, VICE CHAIRMAN MRS. HENRY R. REA FEB 1 4 1928 JOHN D. RYAN GEORGE E. SCOTT T REAR ADMIRAL E. R. STITT Dear Madam: it The National Committee on Red Cross Nursing Service requires us to submit, a annually, a list of all enrolled Red Cross Nurses with their latest addresses. We are extremely anxious to make a very complete report and ask for your cooperation. Will you kindly answer the following questions and return this form to me, in the enclosed envelope, at the earliest possible date? Your sincerely, D Clasa D. royes National Director, Red Cross Nursing Service Name in full Heuemette Andersen shipley. If married, give husband's name Permanent address Sleathing Outairs Probable address for the next year Benny illi Albecto Can Name and address of nearest relative or friend in United States, through whom you may be communicated with in an emergency. (State relationship) Indicate the type of work you are now doing: Lady Recept K H. P. Hospital Benngille, Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? m Have you ever been? no U Indicate present physical condition good - Would you respond to an emergency call in event of epidemic, disaster, war, etc.? J Badge No. 21789 Current date February 22nd 1928 8 NOTE-If the nurse does not complete and return this questionnaire, and can not be located within two years, her enrolment will be annulled.

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Context sent to Scholar

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    "ocrText": "S\nForm 1045-B\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nCALVIN COOLIDGE, PRESIDENT\nJOHN BARTON PAYNE CHAIRMAN\nROBERT w. DE FOREST. Vice PRESIDENT\nMRS AUGUST BELMONT\nWILLIAM HOWARD TAFT, Vice PRESIDENT\nTHE AMERICAN RED CROSS\nCORNELIUS N. BLISS\nMABEL T. BOARDMAN\nWILLIAM D. MITCHELL. COUNSELOR\nMRS. HENRY P. DAVISON\nOGDEN L. MILLS, TREASURER\nNATIONAL HEADQUARTERS\nE. B. DOUGLAS\nI\nMRS. FRANK v. HAMMAR\nMABEL T. BOARDMAN, SECRETARY\nWASHINGTON, D.C.\nHERBERT HOOVER\nMAJ. GEN M. w. IRELAND\nSAMUEL KNIGHT\nNATIONAL EXECUTIVE OFFICERS\n&\nOGDEN L. MILLS\nWILLIAM D. MITCHELL\nJOHN BARTON PAYNE, CHAIRMAN\nROBERT E. OLDS\nJAMES L. FIESER, VICE CHAIRMAN\nGUSTAVUS D. POPE\n5\nERNEST P. BICKNELL, VICE CHAIRMAN\nMRS. HENRY R. REA\nFEB 1 4 1928\nJOHN D. RYAN\nGEORGE E. SCOTT\nT\nREAR ADMIRAL E. R. STITT\nDear Madam:\nit\nThe National Committee on Red Cross Nursing Service requires us to submit,\na\nannually, a list of all enrolled Red Cross Nurses with their latest addresses. We are\nextremely anxious to make a very complete report and ask for your cooperation. Will\nyou kindly answer the following questions and return this form to me, in the enclosed\nenvelope, at the earliest possible date?\nYour sincerely,\nD\nClasa D. royes\nNational Director,\nRed Cross Nursing Service\nName in full Heuemette Andersen shipley.\nIf married, give husband's name\nPermanent address Sleathing Outairs\nProbable address for the next year Benny illi\nAlbecto Can\nName and address of nearest relative or friend in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nIndicate the type of work\nyou are now doing:\nLady Recept\nK H. P. Hospital Benngille,\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? m\nHave you ever been? no\nU\nIndicate present physical condition good\n-\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.?\nJ\nBadge No. 21789\nCurrent date February 22nd 1928\n8\nNOTE-If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be annulled."
}