Form for Record of Transportation

Form 469 (4a) THE AMERICAN RED CROSS From United RECORD OF TRANSPORTATION OR ENDORSEMENT OF PASSPORT APPROVED Acting Ace Chairman The Embarkation Office, From Foreign Operations. Department of Personnel. Date Juno 24. 1926. Atxxxxxxxx Approved Clara whoped Director-Bursing Service. 1. Name H. von Karovaky 2. Address 1019 a Street, D. C. 3. Temporary address 4. Name and address of next of kin or person to be notified in emergency. Mother - 1819 a Street, ii. No-Fashingt ac 5. Purpose of trip or nature of work Marsing Staff-General leap ital-Haiti 6. Going to what countries Haiti 7. Length of stay One Year 8. Proposed approximate date of departure July 14,1926 Booked Sailed 7/14/26 9. Request or cable number in compliance with which above is being sent Letter Reto be reimbursed 10. Is Red Cross to secure S. S. transportation? YES If so is Red Cross to pay? by Hoiting Gov. for Expenses on this Sheet. 11. Is Red Cross to pay transportation in U.S.? Washington, to New York 12. Is Red Cross to pay living expenses prior to departure? One Day in New York To be paid by Haitian Govt. 13. What salary per month is promised? $110.00 Perollo. 14. To begin July 13,1926. 15. Is Red Cross to pay any salary prior to departure? No 16. Is there an assignment of part or all of salary? No 17. What reimbursement, if any, is to be made American Red Cross for expenditures made under items 10 and 15 inclusive? Red Cross to be reinbursed by Haitian Government for Expenses on this Sheet. - Items 10-12. APPOINTEE'S SIGNATUURE (To be affixed in embarkation office before sailing) I have carefully noted the above and found it correct. (Signed) Agual H. oon Known A/A Aucon