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20426
Form No. 469-(2)
THE AMERICAN RED CROSS
O.K.
FOR FILING
ENROLLMENT FORM
M
W
&
Voyage number
From
THE DIVISION OF TRANSPORTATION,
Potomac Division
To
Date
BUREAU OF PERSONNEL.
7-34-18
Approval of Director,
Approved
Bureau of Personnel
I. Name
Cautall, Nors M. Nurse
2. Address
Whitehaad, N.C
3. Temporary address, if any
4. Going to what countries
France
5. Nature of work
6. Suggested rank
Nursing. C.N.7
7. Length of stay (six months or over?)
1 year or more
8. Proposed approximate date of departure
Booked
Sailed
9. Cable number in compliance with which above is being sent
Sman Schedule, C.N.7
IO. Is appointee volunteer ?
II. If not volunteer, what salary per month is promised ?$
12. To begin
60.00
13. What allowance, if any, for transportation in United States?
To
New York and return
14. What allowance, if any, for transportation (steamship) ? $
destination and return
15. What allowance, if any, for living expenses prior to departure
day $ ross date requested to report
16. What allowance, if any, for uniform equipment? $
Y. to day of sailing
17. What allowance, if any, for living expenses abroad
Elequisitioned at New York Office
18. Is there to be an assignment of part or all of salary?
Yes, regulation allowance
19. Has the proper form been sent to the Life Extension Institute?
Division of Transportation,
PLEASE LEAVE THE FOLLOWING LINES BLANK.
Correspondence checked:
Note
Mailed
Forms
Clerk of the
Court at
Date
Issued
Application for passport filed
Cancelled
Cabled
Cancelled
Reservation
Page data
- Page
- 6
- Source index
- 0
- Type
- photo
- Media ID
- 5c1aa12b765a5d5c
- Size
- unknown
Document data
- ID
- 2662419
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source extras
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"coverageEndDate": {
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"logicalDate": "1917-09-08",
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Page context
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"ocrText": "20426\nForm No. 469-(2)\nTHE AMERICAN RED CROSS\nO.K.\nFOR FILING\nENROLLMENT FORM\nM\nW\n&\nVoyage number\nFrom\nTHE DIVISION OF TRANSPORTATION,\nPotomac Division\nTo\nDate\nBUREAU OF PERSONNEL.\n7-34-18\nApproval of Director,\nApproved\nBureau of Personnel\nI. Name\nCautall, Nors M. Nurse\n2. Address\nWhitehaad, N.C\n3. Temporary address, if any\n4. Going to what countries\nFrance\n5. Nature of work\n6. Suggested rank\nNursing. C.N.7\n7. Length of stay (six months or over?)\n1 year or more\n8. Proposed approximate date of departure\nBooked\nSailed\n9. Cable number in compliance with which above is being sent\nSman Schedule, C.N.7\nIO. Is appointee volunteer ?\nII. If not volunteer, what salary per month is promised ?$\n12. To begin\n60.00\n13. What allowance, if any, for transportation in United States?\nTo\nNew York and return\n14. What allowance, if any, for transportation (steamship) ? $\ndestination and return\n15. What allowance, if any, for living expenses prior to departure\nday $ ross date requested to report\n16. What allowance, if any, for uniform equipment? $\nY. to day of sailing\n17. What allowance, if any, for living expenses abroad\nElequisitioned at New York Office\n18. Is there to be an assignment of part or all of salary?\nYes, regulation allowance\n19. Has the proper form been sent to the Life Extension Institute?\nDivision of Transportation,\nPLEASE LEAVE THE FOLLOWING LINES BLANK.\nCorrespondence checked:\nNote\nMailed\nForms\nClerk of the\nCourt at\nDate\nIssued\nApplication for passport filed\nCancelled\nCabled\nCancelled\nReservation"
}