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assignment FORM No. 469-(2) 17500 THE AMERICAN RED CROSS ENROLLMENT FORM M W Voyage number From To THE DIVISION OF TRANSPORTATION, Nursing Department BUREAU OF PERSONNEL. C.L.B Date 4-5-18 assmat Approval of Director, Bureau of Personnel J.K. Approved Jane A. 1. Name Von Kurowsky, Agnes 2. Address 272 Manhattan Ave. New York City 3. Temporary address, if any 4. Going to what countries Italy 5. Nature of work Nursing 6. Suggested rank 7. Length of stay (six months or over?) 1 year or 8. Proposed approximate date of departure Arpil more Booked 20th Apr. 20(cus) Sailed 6/15 9. Cable number in compliance with which above is being sent 152 on goth 10. Is appointee volunteer? No. 11. If not volunteer, what salary per month is promised? $ 60.00 12. To begin date of sailing 13. What allowance, if any, for transportation in United States? $ in New York. Not necessary 14. What allowance, if any, for transportation (steamship)? $ Yes, both ways 15. What allowance, if any, for living expenses prior to departure? $ none 16. What allowance, if any, for uniform equipment? $ yes, regulation equipment 17. What allowance, if any, for living expenses abroad? $ yes, regulation allowance 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? Division of Transportation, PLEASE LEAVE THE FOLLOWING LINES BLANK. Correspondence checked: Note Forms 4/8/18 9-ac-q 3 4/8 Mailed 4/8/18 Clerk of the Court at Application for passport filed Date Issued Reservation Cancelled Cabled Cancelled

Document source description

This item is an Enrollment Form for Agnes von Kurowsky

Page data

Page
2
Source index
0
Type
document
Media ID
6beaf842d2ea153b
Size
unknown

Document data

ID
6706202
Core
doc
Type
document
DTO data
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Context sent to Scholar

Document identity
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    "contentType": "document",
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Document source extras
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    "productionDates": [
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Page context
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    "ocrText": "assignment\nFORM No. 469-(2)\n17500\nTHE AMERICAN RED CROSS\nENROLLMENT FORM\nM\nW\nVoyage number\nFrom\nTo\nTHE DIVISION OF TRANSPORTATION,\nNursing Department\nBUREAU OF PERSONNEL.\nC.L.B\nDate 4-5-18\nassmat\nApproval of Director,\nBureau of Personnel J.K.\nApproved Jane A.\n1. Name\nVon Kurowsky, Agnes\n2. Address\n272 Manhattan Ave. New York City\n3. Temporary address, if any\n4. Going to what countries\nItaly\n5. Nature of work\nNursing\n6. Suggested rank\n7. Length of stay (six months or over?)\n1 year or\n8. Proposed approximate date of departure\nArpil more Booked 20th Apr. 20(cus) Sailed 6/15\n9. Cable number in compliance with which above is being sent\n152 on goth\n10. Is appointee volunteer?\nNo.\n11. If not volunteer, what salary per month is promised? $ 60.00\n12. To begin date of sailing\n13. What allowance, if any, for transportation in United States? $ in New York. Not necessary\n14. What allowance, if any, for transportation (steamship)? $ Yes, both ways\n15. What allowance, if any, for living expenses prior to departure? $\nnone\n16. What allowance, if any, for uniform equipment? $ yes, regulation equipment\n17. What allowance, if any, for living expenses abroad? $\nyes, regulation allowance\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?\nDivision of Transportation,\nPLEASE LEAVE THE FOLLOWING LINES BLANK.\nCorrespondence checked:\nNote Forms 4/8/18 9-ac-q 3 4/8\nMailed 4/8/18\nClerk of the\nCourt at\nApplication for passport filed\nDate\nIssued\nReservation\nCancelled\nCabled\nCancelled"
}