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ANNUAL ADDRESS QUESTIONNAIRE - Form 1045.
Name in full Euily Hannuerd Snuch
Permanent address 3 15 Praspect air. Sugram Pa
Probable address for the next year:
315 Pracpect Our. Ingram Pa
Telephone Walmut 0246
Name and address of nearest relatives: (State relationship) Brother
Paue R. Qnich Hillerest Benn. Phillipsburg n.a
Underline the type of work you are doing:
Army - Navy - U.S.P.H. Hospital
U.S. Vet. Hospital - Institutional - Public Health - Private duty - Industrial
Are you an Instructor of Red Cross classes in Home Hygiene- and Care of the Sick? The
Have you ever been? yes
Would you respond to an emergency call in case of epidemic, disaster, war, etc. ? yes
Badge numb er 13377
Current date april 16. 1925
37
thav
102
è as ald
NOTE -- If the nurse does not complete and return this ques tionnaire, and cannot
be
located within two years, her enrollment will be annulled.
de
a
ento
13377
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"ocrText": "ANNUAL ADDRESS QUESTIONNAIRE - Form 1045.\nName in full Euily Hannuerd Snuch\nPermanent address 3 15 Praspect air. Sugram Pa\nProbable address for the next year:\n315 Pracpect Our. Ingram Pa\nTelephone Walmut 0246\nName and address of nearest relatives: (State relationship) Brother\nPaue R. Qnich Hillerest Benn. Phillipsburg n.a\nUnderline the type of work you are doing:\nArmy - Navy - U.S.P.H. Hospital\nU.S. Vet. Hospital - Institutional - Public Health - Private duty - Industrial\nAre you an Instructor of Red Cross classes in Home Hygiene- and Care of the Sick? The\nHave you ever been? yes\nWould you respond to an emergency call in case of epidemic, disaster, war, etc. ? yes\nBadge numb er 13377\nCurrent date april 16. 1925\n37\nthav\n102\nè as ald\nNOTE -- If the nurse does not complete and return this ques tionnaire, and cannot\nbe\nlocated within two years, her enrollment will be annulled.\nde\na\nento\n13377"
}