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e
-
C
Reid Paul anna tates
L
-
Form 1045
Helmu mont. april 21 1924
ctor
on
Dear Modam:
1'
Will you kindly answer the following questions and roturn this form to me in the
enclosed envolope at the earliest possible date.
Yours
Frances sincerely, State Committee, Secretary,
oria
M
mmt. of Local
a
a
Red brass nursing service
a
M
Maiden name
in full anne 7 or hes Reid
Married name in full
mr W., C. Pane
Permanent address
Sand coulie mont.
Tele. No.
none
Probable address for next year
Name and address of nearost relative Dr W. C. Pane
Sand conlee month
Underline type of work you are doing: Arny - Navy - Institutional - Social Service-
U.S.P.H. Hospital - U.S. Vet. Hospital - Public Health - Private duty - Industrial-
Would you respond to an energency call in case of epidemio, disaster, ,war, etc yes.
Are you still a member in good standing of your Alumnae, District and State
Associations nosare
If not all, which one none
Badge No. 22788
Date april 27-1924
anne.R.Paul
NOTE: If the nurse does not complete and return this questionnaire and cannot be
located within two years, her onrollment will be annulled.
a
D96
of
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"ocrText": "e\n-\nC\nReid Paul anna tates\nL\n-\nForm 1045\nHelmu mont. april 21 1924\nctor\non\nDear Modam:\n1'\nWill you kindly answer the following questions and roturn this form to me in the\nenclosed envolope at the earliest possible date.\nYours\nFrances sincerely, State Committee, Secretary,\noria\nM\nmmt. of Local\na\na\nRed brass nursing service\na\nM\nMaiden name\nin full anne 7 or hes Reid\nMarried name in full\nmr W., C. Pane\nPermanent address\nSand coulie mont.\nTele. No.\nnone\nProbable address for next year\nName and address of nearost relative Dr W. C. Pane\nSand conlee month\nUnderline type of work you are doing: Arny - Navy - Institutional - Social Service-\nU.S.P.H. Hospital - U.S. Vet. Hospital - Public Health - Private duty - Industrial-\nWould you respond to an energency call in case of epidemio, disaster, ,war, etc yes.\nAre you still a member in good standing of your Alumnae, District and State\nAssociations nosare\nIf not all, which one none\nBadge No. 22788\nDate april 27-1924\nanne.R.Paul\nNOTE: If the nurse does not complete and return this questionnaire and cannot be\nlocated within two years, her onrollment will be annulled.\na\nD96\nof"
}