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FORM 1045--REV. 2-24-27
NATIONAL OFFICERS
+
CENTRAL COMMITTEE
JOHN BARTON PAYNE, CHAIRMAN
CALVIN COOLIDGE. PRESIDENT
MRS. AUGUST BELMONT
ROBERT W. DE FOREST, VICE PRESIDENT
WILLIAM HOWARD TAFT. VICE PRESIDENT
THE AMERICAN RED CROSS
CORNELIUS N. BLISS
MABEL T. BOARDMAN
MRS, HENRY P. DAVISON
WILLIAM D. MITCHELL, COUNSELOR
NATIONAL HEADQUARTERS
CHARLES S. DEWEY
CHARLES S. DRWEY. TREASURER
E. B. DOUGLAS
MABEL T. BOARDMAN. SECRETARY
WASHINGTON. D. C.
JOSEPH C. GREW
MRS. FRANK v. HAMMAR
HERBERT HOOVER
MAJ. GEN. M. W. IRELAND
NATIONAL EXECUTIVE OFFICERS
WILLIAM D. MITCHELL
W. W. MORROW
JOHN BARTON PAYNE, CHAIRMAN
GUSTAVUS D. POPE
JAMES L. FIESER, VICE CHAIRMAN
MRS. HENRY R. REA
ERNEST P. BICKNELL. VICE CHAIRMAN
APR 1= 192g
JOHN D. RYAN
GEORGE E. SCOTT
REAR ADMIRAL E. R. STITT
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:
Yours sincerely,
In order to render prompt service
Chairman or
in time of disaster, enrolled Red Cross
nurses should report at once to the
anna Rague
Secretary.
Secretary of the Local Committee under
Phila. Local Committee.
which they are enrolled. Do not forget
the address of the Secretary.
1610 Loust St. Philo Pa.
Name in full
julies Enyder
If married, give husband's name
Permanent address x400 Baltimore ave. Phila Pa
Probable address for the next year Same
Telephone No. Baring 2566
Name and address of nearest relative or friend, in United States, through whom you may
be communicated with in an emergency. (State relationship)
name
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?
Indicate present physical condition
no. Good
Would respond emergency call in event epidemic, etc.? yes
you to an of disaster, war,
Badge No. 23904
Current date
3/29/28
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\n+\nCENTRAL COMMITTEE\nJOHN BARTON PAYNE, CHAIRMAN\nCALVIN COOLIDGE. PRESIDENT\nMRS. AUGUST BELMONT\nROBERT W. DE FOREST, VICE PRESIDENT\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nTHE AMERICAN RED CROSS\nCORNELIUS N. BLISS\nMABEL T. BOARDMAN\nMRS, HENRY P. DAVISON\nWILLIAM D. MITCHELL, COUNSELOR\nNATIONAL HEADQUARTERS\nCHARLES S. DEWEY\nCHARLES S. DRWEY. TREASURER\nE. B. DOUGLAS\nMABEL T. BOARDMAN. SECRETARY\nWASHINGTON. D. C.\nJOSEPH C. GREW\nMRS. FRANK v. HAMMAR\nHERBERT HOOVER\nMAJ. GEN. M. W. IRELAND\nNATIONAL EXECUTIVE OFFICERS\nWILLIAM D. MITCHELL\nW. W. MORROW\nJOHN BARTON PAYNE, CHAIRMAN\nGUSTAVUS D. POPE\nJAMES L. FIESER, VICE CHAIRMAN\nMRS. HENRY R. REA\nERNEST P. BICKNELL. VICE CHAIRMAN\nAPR 1= 192g\nJOHN D. RYAN\nGEORGE E. SCOTT\nREAR ADMIRAL E. R. STITT\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:\nYours sincerely,\nIn order to render prompt service\nChairman or\nin time of disaster, enrolled Red Cross\nnurses should report at once to the\nanna Rague\nSecretary.\nSecretary of the Local Committee under\nPhila. Local Committee.\nwhich they are enrolled. Do not forget\nthe address of the Secretary.\n1610 Loust St. Philo Pa.\nName in full\njulies Enyder\nIf married, give husband's name\nPermanent address x400 Baltimore ave. Phila Pa\nProbable address for the next year Same\nTelephone No. Baring 2566\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nname\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?\nIndicate present physical condition\nno. Good\nWould respond emergency call in event epidemic, etc.? yes\nyou to an of disaster, war,\nBadge No. 23904\nCurrent date\n3/29/28\nNOTE If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled."
}