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Form 1045 Rev. 1-7-30 NATIONAL OFFICERS HERBERT HOOVER. PRESIDENT REC'D SEP 11 1931 CENTRAL COMMITTEE JOHN BARTON PAYNE, CHAIRMAN ROBERT W. DE FOREST. VICE PRESIDENT MRS. AUGUST BELMONT WILLIAM HOWARD TAFT, VICE PRESIDENT THE AMERICAN RED CROSS CORNELIUS N. BLISS MABEL T. BOARDMAN CALVIN COOLIDGE, VICE PRESIDENT JOSEPH P. COTTON CHARLES EVANS HUGHES. JR.. COUNSELOR NATIONAL HEADQUARTERS MRS. HENRY P. DAVISON E. B. DOUGLAS OGDEN L. MILLS. TREASURER WASHINGTON, D.C. MRS. FRANK v. HAMMAR MABEL T. BOARDMAN. SECRETARY CHARLES EVANS HUGHES, JR. MAJ. GEN. M. W. IRELAND SAMUEL KNIGHT NATIONAL EXECUTIVE OFFICERS OGDEN L. MILLS GUSTAVUS D. POPE JOHN BARTON PAYNE. CHAIRMAN MRS. HENRY R. REA JAMES L. FIESER. VICE CHAIRMAN REAR ADMIRAL CHARLES E. RIGGS JOHN D. RYAN ERNEST P. BICKNELL. VICE CHAIRMAN GEORGE E. SCOTT JAMES K. McCLINTOCK. VICE CHAIRMAN ELIOT WADSWORTH 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 enclosed envelope, at the earliest possible date. IMPORTANT: Yours sincerely, In order to render prompt service many I.Hall R.N, Chairman in time of disaster, enrolled Red Cross Secretary. nurses should report at once to the Secretary of the Local Committee under Alameda Co, Local Committee. which they are enrolled. the address of the Secretary Name in full Do not forget mainor 6101 Donegater Place Ceak, Caly, If married, give husband's name Permanent address 2508 (STREET, ashbyour ETC.) Berkelly (CITY) alameda (COUNTY) Dated \(STATE) Probable address for the next year Tel ephone No. Thom 0094 25-08 (STREET, ETC.) Ave Burbetting ashthy (CITY) (COUNTY) (STATE) Name and address of nearest relative or friend, in United States, through whom you may communicated with in an emergency. State relationship) Underline be Mrs the CM. would Cherokee Olela - (sinter) 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? no Have you ever been? yes Indicate present physical condition Convelectent. Would you respond to an emergency call in event of epidemic, disaster, war, etc.? Badge No. 15337 Current date 1931 NOTE. If the nurse does not complete and return this questionnaire, and can not be located within two years, her enrolment will be annulled.

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    "ocrText": "Form 1045 Rev. 1-7-30\nNATIONAL OFFICERS\nHERBERT HOOVER. PRESIDENT\nREC'D SEP 11 1931\nCENTRAL COMMITTEE\nJOHN BARTON PAYNE, CHAIRMAN\nROBERT W. DE FOREST. VICE PRESIDENT\nMRS. AUGUST BELMONT\nWILLIAM HOWARD TAFT, VICE PRESIDENT\nTHE AMERICAN RED CROSS\nCORNELIUS N. BLISS\nMABEL T. BOARDMAN\nCALVIN COOLIDGE, VICE PRESIDENT\nJOSEPH P. COTTON\nCHARLES EVANS HUGHES. JR.. COUNSELOR\nNATIONAL HEADQUARTERS\nMRS. HENRY P. DAVISON\nE. B. DOUGLAS\nOGDEN L. MILLS. TREASURER\nWASHINGTON, D.C.\nMRS. FRANK v. HAMMAR\nMABEL T. BOARDMAN. SECRETARY\nCHARLES EVANS HUGHES, JR.\nMAJ. GEN. M. W. IRELAND\nSAMUEL KNIGHT\nNATIONAL EXECUTIVE OFFICERS\nOGDEN L. MILLS\nGUSTAVUS D. POPE\nJOHN BARTON PAYNE. CHAIRMAN\nMRS. HENRY R. REA\nJAMES L. FIESER. VICE CHAIRMAN\nREAR ADMIRAL CHARLES E. RIGGS\nJOHN D. RYAN\nERNEST P. BICKNELL. VICE CHAIRMAN\nGEORGE E. SCOTT\nJAMES K. McCLINTOCK. VICE CHAIRMAN\nELIOT WADSWORTH\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 enclosed envelope, at the earliest possible date.\nIMPORTANT:\nYours sincerely,\nIn order to render prompt service\nmany I.Hall R.N,\nChairman\nin time of disaster, enrolled Red Cross\nSecretary.\nnurses should report at once to the\nSecretary of the Local Committee under\nAlameda Co,\nLocal Committee.\nwhich they are enrolled.\nthe address of the Secretary\nName in full\nDo not forget mainor 6101 Donegater Place Ceak, Caly,\nIf married, give husband's name\nPermanent address 2508 (STREET, ashbyour ETC.) Berkelly (CITY) alameda (COUNTY) Dated \\(STATE)\nProbable address for the next year\nTel ephone No. Thom 0094\n25-08 (STREET, ETC.) Ave Burbetting\nashthy\n(CITY)\n(COUNTY)\n(STATE)\nName and address of nearest relative or friend, in United States, through whom you may\ncommunicated with in an emergency. State relationship)\nUnderline be Mrs the CM. would Cherokee Olela - (sinter)\ntype 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? no\nHave you ever been?\nyes\nIndicate present physical condition\nConvelectent.\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.?\nBadge No. 15337\nCurrent date\n1931\nNOTE. If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be annulled."
}