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6348 Company FORM No. 469-(2° THE AMERICAN RED CROSS ENROLLMENT FORM M W Voyage number E From Nursing Department. - To THE DIVISION OF TRANSPORTATION, BUREAU OF PERSONNEL. layers Date June 26, 1918. Approval of Director, Approved Clara D. Noyes. Bureau of Personnel 1. Name Coquard, Ella Victoria. 2. Address 316 West 4th Street, Little Rock, Ark. 3. Temporary address, if any 4. Going to what countries France. 5. Nature of work Nursing. 6. Suggested rank 7. Length of stay (six months or over?) 1 year or more. 8. Proposed approximate date of departure July 17thRooked Sailed 10-13-18 9. Cable number in compliance with which above is being sent N-l 10. Is appointee volunteer? No 11. If not volunteer, what salary per month is promised? $70.00 12. To begin: sept. 31'18. 13. What allowance, if any, for transportation in United States? $ Yes, both ways. 14. What allowance, if any, for transportation (steamship)? $ Yes, both ways. 15. What allowance, if any, for living expenses prior to departure? $4.00 a day for time in New York. 16. What allowance, if any, for uniform equipment? $Requisitioned at New York office. 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? $35,00 19. Has the proper form been sent to the Life Extension Institute? Division of Transportation, PLEASE LEAVE THE FOLLOWING LINES BLANK. Correspondence checked: Note Mailed Forms Clerk of the Court at Date Issued Application for passport filed Cabled Cancelled Reservation Cancelled

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    "ocrText": "6348\nCompany\nFORM No. 469-(2°\nTHE AMERICAN RED CROSS\nENROLLMENT FORM\nM\nW\nVoyage number\nE\nFrom Nursing Department.\n-\nTo\nTHE DIVISION OF TRANSPORTATION,\nBUREAU OF PERSONNEL.\nlayers\nDate\nJune 26, 1918.\nApproval of Director,\nApproved\nClara D. Noyes.\nBureau of Personnel\n1.\nName Coquard, Ella Victoria.\n2. Address\n316 West 4th Street, Little Rock, Ark.\n3. Temporary address, if any\n4. Going to what countries\nFrance.\n5. Nature of work\nNursing.\n6. Suggested rank\n7. Length of stay (six months or over?) 1 year or more.\n8. Proposed approximate date of departure July 17thRooked\nSailed 10-13-18\n9. Cable number in compliance with which above is being sent N-l\n10. Is appointee volunteer?\nNo\n11. If not volunteer, what salary per month is promised? $70.00 12. To begin:\nsept. 31'18.\n13. What allowance, if any, for transportation in United States? $ Yes, both ways.\n14. What allowance, if any, for transportation (steamship)? $ Yes, both ways.\n15. What allowance, if any, for living expenses prior to departure? $4.00 a day for time in New York.\n16. What allowance, if any, for uniform equipment? $Requisitioned at New York office.\n17. What allowance, if any, for living expenses abroad? $ Yes, regulation allowance.\n18. Is there to be an assignment of part or all of salary? $35,00\n19. Has the proper form been sent to the Life Extension Institute?\nDivision of Transportation,\nPLEASE LEAVE THE FOLLOWING LINES BLANK.\nCorrespondence checked:\nNote\nMailed\nForms\nClerk of the\nCourt at\nDate\nIssued\nApplication for passport filed\nCabled\nCancelled\nReservation\nCancelled"
}