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D
FORM 1189
AMERICAN RED CROSS
REV. FEB. 1941
NURSING SERVICE
PROFESSIONAL AFFILIATION
This form is to be sent by the Local Committee directly to the Secretary of the District or State Nurses' Association
E
of which the applicant is a member, with circular letter concerning the same (Form 1197).
-
+
(If credential is obtained from a District Nurses' Association use this half of the form.)
This certifies that
a graduate of
School of Nursing
located at
u
(CITY)
(STATE)
(A
is a member in good standing of District No
of the
State Nurses'
5
Association which carries with it membership in the American Nurses' Association, and recommends her for enroll-
ment in the Red Cross Nursing Service.
(SIGNATURE OF OFFICER)
(TITLE)
(ASSOCIATION)
Date
(ADDRESS)
(If credential is obtained from the State Nurses' Association, use this half of the form.)
This certifies that
Ina Elithe Brush Day
a graduate of
Orange Memorial Hospital
School of Nursing
located at
Orange,
New Jersey
(CITY)
for
is a member in good standing of the New Jersey
State Nurses' Association/which carries with it membership
in the American Nurses' Association, and recommends her for enrollment in the Red Cross Nursing Service.
6
p. MLIN
Wilkie (SIGNATURE Hugles OF/ OFFICER) General (TITLE) Secretary
/
ORANGE
New Jersey State. Nurses! Association
1.
(ASSOCIATION)
17 Acadamy Street
Date 24 - February - 1942
Newark, New Jersey
(ADDRESS)
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"ocrText": "D\nFORM 1189\nAMERICAN RED CROSS\nREV. FEB. 1941\nNURSING SERVICE\nPROFESSIONAL AFFILIATION\nThis form is to be sent by the Local Committee directly to the Secretary of the District or State Nurses' Association\nE\nof which the applicant is a member, with circular letter concerning the same (Form 1197).\n-\n+\n(If credential is obtained from a District Nurses' Association use this half of the form.)\nThis certifies that\na graduate of\nSchool of Nursing\nlocated at\nu\n(CITY)\n(STATE)\n(A\nis a member in good standing of District No\nof the\nState Nurses'\n5\nAssociation which carries with it membership in the American Nurses' Association, and recommends her for enroll-\nment in the Red Cross Nursing Service.\n(SIGNATURE OF OFFICER)\n(TITLE)\n(ASSOCIATION)\nDate\n(ADDRESS)\n(If credential is obtained from the State Nurses' Association, use this half of the form.)\nThis certifies that\nIna Elithe Brush Day\na graduate of\nOrange Memorial Hospital\nSchool of Nursing\nlocated at\nOrange,\nNew Jersey\n(CITY)\nfor\nis a member in good standing of the New Jersey\nState Nurses' Association/which carries with it membership\nin the American Nurses' Association, and recommends her for enrollment in the Red Cross Nursing Service.\n6\np. MLIN\nWilkie (SIGNATURE Hugles OF/ OFFICER) General (TITLE) Secretary\n/\nORANGE\nNew Jersey State. Nurses! Association\n1.\n(ASSOCIATION)\n17 Acadamy Street\nDate 24 - February - 1942\nNewark, New Jersey\n(ADDRESS)"
}