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Form No. 469-(3)
THE AMERICAN RED CROSS
ENROLL MENTS FORM
AMERICAN HEB
RECEIVED
M
W
APR
Atlantic
To
DIVISION OF
AND OF RECORDS From lursing Department
P
BUREAU OF
Bivision of Porsonnel
Feb. 28, 1919
Date
Approved Elstand 71 baughan
williams, Annie La
1. Name
BOX 25, Varwick, N.Y.
2. Address
3. Temporary address, if any
iberia
4. Going to what countries
5. Enrolled Red Cross Murse
Nature of work
6. Suggested rank
1 year or more
7. Length of stay (six months or over?)
8. Proposed approximate date of departure
Booked
Siberian Cable #51
Sailed 4/14/19
9. Cable number in compliance with which above is being sent
No
Chargeable to
10. Is appointee volunteer?
for
70.00
11. If not volunteer, what salary per month is promised ? $
12. To begin an Francisco
To San Francisco and return
13. What allowance, if any, for transportation in United States? $
To desti ation and return
14. What allowance, if any, for transportation (steamship) ? $ 4.00day from date requested to report
in San Francisco to day of sailing
15. What allowance, if any, for living expenses prior to departure?
Yes, requisitioned at New York office
16. What allowance, if any, for uniform equipment ? $
Yes, regulation allowance
17. What allowance, if any, for living expenses abroad ? $
18. Is there to be an assignment of part or all of salary ?
19. Has the proper form been sent to the Life Extension Institute?
THE AMERICAN RED CROSS
PASSPORT BUREAU,
NATIONAL HEADQUARTERS
WASHINGTON, D. c.
DEPARTMENT OF STATE,
1423 New YORK AVENUE,
:
WASHINGTON, D. C.
of
appointed
in the service of the American National Red Cross, expects to sail
Date of Birth: Nov. 30, 1879
Page data
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Document data
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- Core
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DTO data
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"ocrText": "Form No. 469-(3)\nTHE AMERICAN RED CROSS\nENROLL MENTS FORM\nAMERICAN HEB\nRECEIVED\nM\nW\nAPR\nAtlantic\nTo\nDIVISION OF\nAND OF RECORDS From lursing Department\nP\nBUREAU OF\nBivision of Porsonnel\nFeb. 28, 1919\nDate\nApproved Elstand 71 baughan\nwilliams, Annie La\n1. Name\nBOX 25, Varwick, N.Y.\n2. Address\n3. Temporary address, if any\niberia\n4. Going to what countries\n5. Enrolled Red Cross Murse\nNature of work\n6. Suggested rank\n1 year or more\n7. Length of stay (six months or over?)\n8. Proposed approximate date of departure\nBooked\nSiberian Cable #51\nSailed 4/14/19\n9. Cable number in compliance with which above is being sent\nNo\nChargeable to\n10. Is appointee volunteer?\nfor\n70.00\n11. If not volunteer, what salary per month is promised ? $\n12. To begin an Francisco\nTo San Francisco and return\n13. What allowance, if any, for transportation in United States? $\nTo desti ation and return\n14. What allowance, if any, for transportation (steamship) ? $ 4.00day from date requested to report\nin San Francisco to day of sailing\n15. What allowance, if any, for living expenses prior to departure?\nYes, requisitioned at New York office\n16. What allowance, if any, for uniform equipment ? $\nYes, regulation allowance\n17. What allowance, if any, for living expenses abroad ? $\n18. Is there to be an assignment of part or all of salary ?\n19. Has the proper form been sent to the Life Extension Institute?\nTHE AMERICAN RED CROSS\nPASSPORT BUREAU,\nNATIONAL HEADQUARTERS\nWASHINGTON, D. c.\nDEPARTMENT OF STATE,\n1423 New YORK AVENUE,\n:\nWASHINGTON, D. C.\nof\nappointed\nin the service of the American National Red Cross, expects to sail\nDate of Birth: Nov. 30, 1879"
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