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S 5 Form 1045 Arkansas THE AMERICAN RED CROSS Colorado I Kansas SOUTHWESTERN DIVISION New Mexico 1709 WASHINGTON AVE. & Missouri Oklahoma SAINT LOUIS 5 Texas + Dear Madam:- We have had great difficulty in getting the correct addresses of en- rolled Red Cross Nurses in our territory. We know that you are very busy, but the National Committee requires us to submit, annually, a complete list of all the nurses enrolled with our Committee, with their latest addresses. D Will you kindly answer the following questions and return this form to me in the enclosed envelope at the earliest possible date. e Yours sincerely, Mrs Josepe Wastou deadre Crt fau Acetonia Term Name in full Heurietta audersm shipley Permanent address Bonnfrille guned Hapital Telephone Bornyrilly bancila Probable address for the next year: Bonnyille alberts banada Name and address of nearest relative: me Y.W. Douglas Anathroy antario, Canada mission Underline the type of work you are doing: Army - Navy - Institutional Hapital U.S.P.H. Hospital - U.S.Vet Hospital - Pub I lic Health -Private Duty -Industrial Would you respond to an emergency call in case of epidemic, disaster, war etc. Badge No 21789 Date may 16th1928 NOTE: If the nurse does not complete and return this questionnaire and cannot be located within two years, her enrollment will be annulled, 8 # 989 of

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    "ocrText": "S\n5\nForm 1045\nArkansas\nTHE AMERICAN RED CROSS\nColorado\nI\nKansas\nSOUTHWESTERN DIVISION\nNew Mexico\n1709 WASHINGTON AVE.\n&\nMissouri\nOklahoma\nSAINT LOUIS\n5\nTexas\n+\nDear Madam:-\nWe have had great difficulty in getting the correct addresses of en-\nrolled Red Cross Nurses in our territory. We know that you are very busy, but\nthe National Committee requires us to submit, annually, a complete list of all\nthe nurses enrolled with our Committee, with their latest addresses.\nD\nWill you kindly answer the following questions and return this form\nto me in the enclosed envelope at the earliest possible date.\ne\nYours sincerely,\nMrs Josepe Wastou\ndeadre Crt fau Acetonia Term\nName in full Heurietta audersm shipley\nPermanent address Bonnfrille guned Hapital\nTelephone\nBornyrilly\nbancila\nProbable address for the next year:\nBonnyille alberts banada\nName and address of nearest relative:\nme Y.W. Douglas Anathroy antario, Canada mission\nUnderline\nthe type of work you are doing: Army - Navy - Institutional Hapital\nU.S.P.H. Hospital - U.S.Vet Hospital - Pub I lic Health -Private Duty -Industrial\nWould you respond to an emergency call in case of epidemic, disaster, war etc.\nBadge No 21789\nDate may 16th1928\nNOTE: If the nurse does not complete and return this questionnaire and cannot\nbe located within two years, her enrollment will be annulled,\n8\n# 989\nof"
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