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FORM 2
PLEASE DO NOT FOLD
REV. DEC. 1939
Name Eveplyn 17630b County
Badge No. 72083
Use pencil for above
12-1-38
AMERICAN RED CROSS
NURSE'S RECORD FOR LOCAL COMMITTEE
3-28-48
5140-15th Ave. , So.Minneapolis, Minn.
Address Permed
350 Congress Av.e. New City Haven, Conn State
Telephone No.
Street
Nursing School
Yale University., New Haven, Conn
Name
City
State
Dates
Of DEF,
birth 1993r Of graduation (Year) 19.38 Of application. (Year) 1938
Title. Staff-nurse
Agency. New Haven Hospital
Position: Present
Check fields in which you have had experience: (Inst. X
) (P.H.
) (P.D.
.)
Past
3-28-46
Nearest Relative
Mrs Conrad C. Stotz (Mo ther)
or friend
Name
518-41
Relationship
Wentworth Ave, St Paul, Minn.
Address of this person
1020 Kruse St., West St.Paul, Minn.
(OVER)
w
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"ocrText": "FORM 2\nPLEASE DO NOT FOLD\nREV. DEC. 1939\nName Eveplyn 17630b County\nBadge No. 72083\nUse pencil for above\n12-1-38\nAMERICAN RED CROSS\nNURSE'S RECORD FOR LOCAL COMMITTEE\n3-28-48\n5140-15th Ave. , So.Minneapolis, Minn.\nAddress Permed\n350 Congress Av.e. New City Haven, Conn State\nTelephone No.\nStreet\nNursing School\nYale University., New Haven, Conn\nName\nCity\nState\nDates\nOf DEF,\nbirth 1993r Of graduation (Year) 19.38 Of application. (Year) 1938\nTitle. Staff-nurse\nAgency. New Haven Hospital\nPosition: Present\nCheck fields in which you have had experience: (Inst. X\n) (P.H.\n) (P.D.\n.)\nPast\n3-28-46\nNearest Relative\nMrs Conrad C. Stotz (Mo ther)\nor friend\nName\n518-41\nRelationship\nWentworth Ave, St Paul, Minn.\nAddress of this person\n1020 Kruse St., West St.Paul, Minn.\n(OVER)\nw"
}