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I
e
a
T
e
artanter Deveron
S
QUESTIONNAIRE.
a
1.
Jusan C. Harle
s
2.
Name Address Temporary 5. South offord are tentnor k.j.
a
- Permanent 381 graveror are canada pli.z
5
Red Cross Badge Number 1579
s.
4.
Date of appointment to service biliker 26-1917
C.
6/5/4 Date of discharge from service Tun 20. 1919
5.
6.
Service with Army
"
"
Navy
with army Chief huron
"
"
Red Cross
Camp Besure gard La
"
"
United States Hublic Health Service Sabitary Zone
"
"
Emergency, Influenza Epidemic, Disaster, etc.
7.
Conditio of heolth on discharge. bood
8.
Condition of health at present time. good
9.
Approximate date of illness if any and where.
10. Have you notified the Veterans Bureau or the Red Cross Nursing Service?
Is
ll. Are you drawing compensation from the Veterans Bureau?
so
Date granted.
Number.
Hospitalization if any.
Name and address of doctor by whom examined.
12. Remarks:
13. Vocational Training.
no
Number
Where
What kind.
Length of course.
14. Remarks:
15. Are you drawing Insurance from the American Red Cross? no
Date granted.
16.
Present Occupation . none - None a like
Red cross work hi allania City-L.y
Page data
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- Source index
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- Type
- photo
- Media ID
- 7c6693123b3e7f10
- Size
- unknown
Document data
- ID
- 2661617
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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Document source extras
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Page context
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"ocrText": "I\ne\na\nT\ne\nartanter Deveron\nS\nQUESTIONNAIRE.\na\n1.\nJusan C. Harle\ns\n2.\nName Address Temporary 5. South offord are tentnor k.j.\na\n- Permanent 381 graveror are canada pli.z\n5\nRed Cross Badge Number 1579\ns.\n4.\nDate of appointment to service biliker 26-1917\nC.\n6/5/4 Date of discharge from service Tun 20. 1919\n5.\n6.\nService with Army\n\"\n\"\nNavy\nwith army Chief huron\n\"\n\"\nRed Cross\nCamp Besure gard La\n\"\n\"\nUnited States Hublic Health Service Sabitary Zone\n\"\n\"\nEmergency, Influenza Epidemic, Disaster, etc.\n7.\nConditio of heolth on discharge. bood\n8.\nCondition of health at present time. good\n9.\nApproximate date of illness if any and where.\n10. Have you notified the Veterans Bureau or the Red Cross Nursing Service?\nIs\nll. Are you drawing compensation from the Veterans Bureau?\nso\nDate granted.\nNumber.\nHospitalization if any.\nName and address of doctor by whom examined.\n12. Remarks:\n13. Vocational Training.\nno\nNumber\nWhere\nWhat kind.\nLength of course.\n14. Remarks:\n15. Are you drawing Insurance from the American Red Cross? no\nDate granted.\n16.\nPresent Occupation . none - None a like\nRed cross work hi allania City-L.y"
}