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e + + FORM 1045--REV. 2-24-27 NATIONAL OFFICERS CENTRAL COMMITTEE CALVIN COOLIDGE. PRESIDENT JOHN BARTON PAYNE, CHAIRMAN MRS, AUGUST BELMONT ROBERT w. DE FOREST, VICE PRESIDENT THE AMERICAN RED CROSS CORNELIUS N. BLISS WILLIAM HOWARD TAFT. VICE PRESIDENT MABEL T. BOARDMAN WILLIAM D. MITCHELL, COUNSELOR MRS, HENRY P. DAVISON NATIONAL HEADQUARTERS CHARLES s. DEWEY CHARLES s. DEWEY, TREASURER E.B. DOUGLAS MABEL T. BOARDMAN. SECRETARY WASHINGTON. D.C. JOSEPH c. GREW MRS. FRANK v. HAMMAR 3 HERBERT HOOVER NATIONAL EXECUTIVE OFFICERS MAJ. GEN. M, w. IRELAND WILLIAM D. MITCHELL JOHN BARTON PAYNE, CHAIRMAN w. w. MORROW JAMES L. FIESER, VICE CHAIRMAN GUSTAVUS D. POPE MRS. HENRY R. REA ERNEST P BICKNELL. VICE CHAIRMAN ? 5 JOHN D. RYAN GEORGE E. SCOTT REAR ADMIRAL E, R. STITT 5 Miss Minnie M. Bethune, . 365 Gross St., Pgh. , Penna. 1928. M Dear Madam: The National Committee on Red Cross Nursing Service requires us to submit, at annually, a list of all the Red Cross Nurses enrolled with our Committee, with their + latest addresses. We are extremely anxious to make a very complete report to National Headquarters and ask for your cooperation. Please answer the following questions and return this form to me, in the enclosed envelope, at the earliest possible date. IMPORTANT: Yours sincerely, In order to render prompt service Chairman or in time of disaster, enrolled Red Cross F. ELNA SMITTEN, R. N. Secretary. nurses should report at once to the Secretary of the Local Committee under Secretary Local Committee, Local Committee. which they are enrolled. Do not forget American Red Cross Nursing Service, Name in full Secretary minnie Martha Bethere the address of the If married, give husband's name Permanent address 366 Gross La Probable address for the next year 365 Gross x Telephone No. Fisk 16 89 Name and address of nearest relative or friend, in United States, through whom you may be communicated with in an emergency. (State relationship) Underline Bladys the type of work Erwin 360 Gross Stritsburgh pa you are now doing: - Army - Navy - U.S.P.H. Hospital - U.S.Vet. Hospital - Public Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar. Are you an instructor of Red Cross classes in Home and Care of the Sick? Have you ever been? yo Hygiene No Indicate present physical condition wonderful Would you respond to an emergency call in event of epidemic, disaster, war, etc. ? No Badge No. 22236 Current date Jan 21st 1928 NOTE. - - If the nurse does not complete and return this questionnaire, and can not be located within two years, her enrollment will be annulled.

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    "ocrText": "e\n+\n+\nFORM 1045--REV. 2-24-27\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nCALVIN COOLIDGE. PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nMRS, AUGUST BELMONT\nROBERT w. DE FOREST, VICE PRESIDENT\nTHE AMERICAN RED CROSS\nCORNELIUS N. BLISS\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nMABEL T. BOARDMAN\nWILLIAM D. MITCHELL, COUNSELOR\nMRS, HENRY P. DAVISON\nNATIONAL HEADQUARTERS\nCHARLES s. DEWEY\nCHARLES s. DEWEY, TREASURER\nE.B. DOUGLAS\nMABEL T. BOARDMAN. SECRETARY\nWASHINGTON. D.C.\nJOSEPH c. GREW\nMRS. FRANK v. HAMMAR\n3\nHERBERT HOOVER\nNATIONAL EXECUTIVE OFFICERS\nMAJ. GEN. M, w. IRELAND\nWILLIAM D. MITCHELL\nJOHN BARTON PAYNE, CHAIRMAN\nw. w. MORROW\nJAMES L. FIESER, VICE CHAIRMAN\nGUSTAVUS D. POPE\nMRS. HENRY R. REA\nERNEST P BICKNELL. VICE CHAIRMAN\n?\n5\nJOHN D. RYAN\nGEORGE E. SCOTT\nREAR ADMIRAL E, R. STITT\n5\nMiss Minnie M. Bethune,\n.\n365 Gross St.,\nPgh. , Penna.\n1928.\nM\nDear Madam:\nThe National Committee on Red Cross Nursing Service requires us to submit,\nat\nannually, a list of all the Red Cross Nurses enrolled with our Committee, with their\n+\nlatest addresses. We are extremely anxious to make a very complete report to National\nHeadquarters and ask for your cooperation. Please answer the following questions and\nreturn this form to me, in the enclosed envelope, at the earliest possible date.\nIMPORTANT:\nYours sincerely,\nIn order to render prompt service\nChairman or\nin time of disaster, enrolled Red Cross\nF. ELNA SMITTEN, R. N.\nSecretary.\nnurses should report at once to the\nSecretary of the Local Committee under\nSecretary Local Committee,\nLocal Committee.\nwhich they are enrolled. Do not forget American Red Cross Nursing Service,\nName in full Secretary minnie Martha Bethere\nthe address of the\nIf married, give husband's name\nPermanent address\n366 Gross La\nProbable address for the next year 365 Gross\nx\nTelephone No. Fisk 16 89\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nUnderline Bladys the type of work Erwin 360 Gross Stritsburgh pa\nyou are now doing: - Army - Navy - U.S.P.H. Hospital - U.S.Vet. Hospital - Public\nHealth - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nAre you an instructor of Red Cross classes in Home and Care of the Sick?\nHave you ever been? yo\nHygiene No\nIndicate present physical condition wonderful\nWould you respond to an emergency call in event of epidemic, disaster, war, etc. ? No\nBadge No. 22236\nCurrent date Jan 21st 1928\nNOTE. - - If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled."
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