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FORM 1045--REV. 2-24-27 NATIONAL OFFICERS CENTRAL COMMITTEE CALVIN COOLIDGE, PRESIDENT JOHN BARTON PAYNE, CHAIRMAN MRS. AUGUST BELMONT ROBERT W. DE FOREST. VICE PRESIDENT CORNELIUS N. BLISS WILLIAM HOWARD TAFT. VICE PRESIDENT THE AMERICAN RED CROSS MABEL T. BOARDMAN WILLIAM D, MITCHELL. COUNSELOR J. REUBEN CLARK, JR. OGDEN L. MILLS, TREASURER NATIONAL HEADQUARTERS MRS. HENRY P. DAVISON E. B. DOUGLAS MABEL T. BOARDMAN, SECRETARY WASHINGTON, D. C. MRS. FRANK v. HAMMAR HERBERT HOOVER MAJ. GEN. M. W. IRELAND NATIONAL EXECUTIVE OFFICERS SAMUEL KNIGHT JOHN BARTON PAYNE. CHAIRMAN APR 1929 OGDEN L. MILLS WILLIAM D. MITCHELL JAMES L. FIESER, VICE CHAIRMAN GUSTAVUS D. POPE MRS. HENRY R. REA ERNEST P. BICKNELL. VICE CHAIRMAN REAR ADMIRAL CHARLES E. RIGGS JOHN D. RYAN GEORGE E. SCOTT Dear Madam: The National Committee on Red Cross Nursing Service requires us to submit, annually, a list of all the Red Cross Nurses enrolled with our Committee, with their latest addresses. We are extremely anxious to make a very complete report to National Headquarters and ask for your cooperation. Please answer the following questions and return this form to me, in the enclosed envelope, at the earliest possible date. IMPORTANT: In order to render prompt service Yours sincerely, ANNA ROGERS in time of disaster, enrolled Red Cross Chairman or nurses should report at once to the AMERICAN RED CROSSeretary. Secretary of the Local Committee under 1610 Locust Street, which they are enrolled. Do not forget PHILADELPHIA, :-: PA. Local Committee. the address of the Secretary Name in full Enities tryin If married, give husband's name Permanent address H400 Ballume are Phila - Pa - Probable address for the next year same Telephone No. Bar-256le Name and address of nearest relative or friend, in United States, through whom you may be communicated with in an emergency (State relationship) none Underline the type of work you are now doing: - Army - Navy - U.S.P.H. Hospital - U.S.Vet. Hospital - Public Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar. Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? Have you ever been? Mo Indicate present physical condition bood Would you respond to an emergency call in event of epidemic, disaster, war, etc.? Badge No. m392 Current date affiliation NOTE. - If the nurse does not complete and return this questionnaIre, and can not be located within two years, her enrollment will be annulled.

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    "ocrText": "FORM 1045--REV. 2-24-27\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nCALVIN COOLIDGE, PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nMRS. AUGUST BELMONT\nROBERT W. DE FOREST. VICE PRESIDENT\nCORNELIUS N. BLISS\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nTHE AMERICAN RED CROSS\nMABEL T. BOARDMAN\nWILLIAM D, MITCHELL. COUNSELOR\nJ. REUBEN CLARK, JR.\nOGDEN L. MILLS, TREASURER\nNATIONAL HEADQUARTERS\nMRS. HENRY P. DAVISON\nE. B. DOUGLAS\nMABEL T. BOARDMAN, SECRETARY\nWASHINGTON, D. C.\nMRS. FRANK v. HAMMAR\nHERBERT HOOVER\nMAJ. GEN. M. W. IRELAND\nNATIONAL EXECUTIVE OFFICERS\nSAMUEL KNIGHT\nJOHN BARTON PAYNE. CHAIRMAN\nAPR 1929\nOGDEN L. MILLS\nWILLIAM D. MITCHELL\nJAMES L. FIESER, VICE CHAIRMAN\nGUSTAVUS D. POPE\nMRS. HENRY R. REA\nERNEST P. BICKNELL. VICE CHAIRMAN\nREAR ADMIRAL CHARLES E. RIGGS\nJOHN D. RYAN\nGEORGE E. SCOTT\nDear Madam:\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a list of all the Red Cross Nurses enrolled with our Committee, with their\nlatest addresses. We are extremely anxious to make a very complete report to National\nHeadquarters and ask for your cooperation. Please answer the following questions and\nreturn this form to me, in the enclosed envelope, at the earliest possible date.\nIMPORTANT:\nIn order to render prompt service\nYours sincerely, ANNA ROGERS\nin time of disaster, enrolled Red Cross\nChairman or\nnurses should report at once to the\nAMERICAN RED CROSSeretary.\nSecretary of the Local Committee under\n1610 Locust Street,\nwhich they are enrolled. Do not forget\nPHILADELPHIA, :-: PA.\nLocal Committee.\nthe address of the Secretary\nName in full\nEnities tryin\nIf married, give husband's name\nPermanent address H400 Ballume are Phila - Pa -\nProbable address for the next year\nsame\nTelephone No. Bar-256le\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency (State relationship)\nnone\nUnderline the type of work\nyou are now doing: - Army - Navy - U.S.P.H. Hospital - U.S.Vet. Hospital - Public\nHealth - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?\nHave you ever been?\nMo\nIndicate present physical condition\nbood\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.?\nBadge No. m392\nCurrent date\naffiliation\nNOTE. - If the nurse does not complete and return this questionnaIre, and can not\nbe located within two years, her enrollment will be annulled."
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