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    "localId": "2662299",
    "label": "Stafford, Ada Holden",
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    "contentType": "document",
    "title": "Stafford, Ada Holden",
    "citationUrl": "https://catalog.archives.gov/id/2662299",
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        "Records of the American National Red Cross",
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    "url": "https://catalog.archives.gov/id/2662299",
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    "coverageEndDate": {
        "day": 23,
        "logicalDate": "1940-03-23",
        "month": 3,
        "year": 1940
    },
    "coverageStartDate": {
        "day": 28,
        "logicalDate": "1918-06-28",
        "month": 6,
        "year": 1918
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    "seq": 15,
    "pageIndex": 0,
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    "ocrText": "FORM 1045\nREV. 1-2-35\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D.C.\nDear Madam:\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a report of all the Red Cross Nurses enrolled with our Committee. Will you\ntherefore, please answer the following questions and return this form to me, in the\nenclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONAIRE IS FILED\nWITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-\noganize the value of filing this information and will return the questionnaire promptly,\nas we are extremely anxious to make a very complete report to National Headquarters.\nIMPORTANT:\nYours sincerely,\nIn order to render prompt service\nMiss Gertrude E. Beal\nChairman or\nin time of disaster, enrolled Red Cross\nNurses should report at once to the\nSec'u., Stateano Local Committes,\nSecretary.\nSecretary of the Local Committee under\nRed Cross Nursing Service.\nLocal Committee.\nwhich they are enrolled. Do not forget\nLEWISTON\n-\nthe address of the Secretary.\nMAINE\nName in full\nAda no stafford\nIf married, give husband's name\nPermanent address\nP.7.D (STREET, ETC.) farmington (CITY) Franklin (COUNTY) (STATE) maine\nProbable address for next year\nsalue\n(STREET, ETC.)\nTelephone No. none\n(CITY)\n(COUNTY)\n(STATE)\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nRebecca a stufford 10 Barnee Pheel Providence RJ.\nUnderline the type of work you are now doing:\nArmy - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service -\nPublic Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no\nHave you ever been?\nyes Gord\nIndicate present physical condition\nWould respond emergency\nyou to an in event\nBadge No. 79467\ncall of epidemic, march disaster, 7-1936 war, etc.' ? yes\nCurrent\ndate\nNOTE. If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be removed from our active files."
}