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Form 1045
NATIONAL OFFICERS
CENTRAL COMMITTEE
/
CALVIN COOLIDGE. PRESIDENT
JOHN BARTON PAYNE, CHAIRMAN
ROBERT w. DE FOREST, VICE PRESIDENT
JAMES M. BECK
0
WILLIAM HOWARD TAFT. VICE PRESIDENT
MRS. AUGUST BELMONT
JAMES M. BECK, COUNSELOR
THE AMERICAN RED CROSS
CORNELIUS N. BLISS
MABEL T, BOARDMAN
ELIOT WADSWORTH, TREASURER
MRS, HENRY P. DAVISON
MABEL T. BOARDMAN. SECRETARY
NATIONAL HEADQUAKTERS
E.B. DOUGLAS
JOSEPH c. GREW
WASHINGTON, D.C.
MRS. FRANK v. HAMMAR
EXECUTIVE OFFICERS
HERBERT HOOVER
MAJ. GEN. M. w. IRELAND
JOHN BARTON PAYNE, CHAIRMAN
w.w. MORROW
GUSTAVUS D, POPE
JAMES L. FIESER, VICE CHAIRMAN
MRS. HENRY R. REA
ERNEST P. BICKN3LL, VICE CHAIRMAN
JOHN D. RYAN
GEORGE E. SCOTT
REAR ADMIRAL E, R, STITT
ELIOT WADSWORTH
a
Dear Madam:
As you undoubtedly know, the National Committee on Red Cross Nursing Service
requires us to submit, annually, a list of all the Red Cross Nurses enrolled with our
Committee, with their latest addresses. We know that you are very busy, but 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.
Wies : forence M. Johnson
Yours sincerely
Secretary Manhattan Local Committeo Chairman
or
Red tress Nürsing Service
Secretary.
508 Madison Committee.
Nex York City
Name in full Jane Elizabeth Hitchcock
If married, give husband's name
Permanent address 16Hitchcock St. Amherst, mass.
Probable address for the next year 71 Willar ST., Brooklyn, 724
Telephone No main. 5355-7,
Name and (State address relationship) of nearest relative Lucy e.Hetchwels
Willow St, Backlyn up
Underline the type of work you are doing:
Army - Navy - U.S.P.H. Hospital
S.Vet.Hospital - Institutional - Public Health - Private Duty - Industrial.
Are you an instructor of Red Cross classes in Home Hygiene and care of the sick? uo
Have you ever been? yes
Badge No. 6578
Would you respond to an emergency call in event of epidemic, disaster, war, etc. ? yes
Current date Mar, 30, 1925
NOTE. If the nurse does not complete and return this questionnaire, and can not be
located within two years, her enrollment will be annulled.
Page data
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Document data
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"ocrText": "I\nForm 1045\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\n/\nCALVIN COOLIDGE. PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nROBERT w. DE FOREST, VICE PRESIDENT\nJAMES M. BECK\n0\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nMRS. AUGUST BELMONT\nJAMES M. BECK, COUNSELOR\nTHE AMERICAN RED CROSS\nCORNELIUS N. BLISS\nMABEL T, BOARDMAN\nELIOT WADSWORTH, TREASURER\nMRS, HENRY P. DAVISON\nMABEL T. BOARDMAN. SECRETARY\nNATIONAL HEADQUAKTERS\nE.B. DOUGLAS\nJOSEPH c. GREW\nWASHINGTON, D.C.\nMRS. FRANK v. HAMMAR\nEXECUTIVE OFFICERS\nHERBERT HOOVER\nMAJ. GEN. M. w. IRELAND\nJOHN BARTON PAYNE, CHAIRMAN\nw.w. MORROW\nGUSTAVUS D, POPE\nJAMES L. FIESER, VICE CHAIRMAN\nMRS. HENRY R. REA\nERNEST P. BICKN3LL, VICE CHAIRMAN\nJOHN D. RYAN\nGEORGE E. SCOTT\nREAR ADMIRAL E, R, STITT\nELIOT WADSWORTH\na\nDear Madam:\nAs you undoubtedly know, the National Committee on Red Cross Nursing Service\nrequires us to submit, annually, a list of all the Red Cross Nurses enrolled with our\nCommittee, with their latest addresses. We know that you are very busy, but we are\nextremely anxious to make a very complete report to National Headquarters and ask for\nyour cooperation. Please answer the following questions and return this form to me,\nin the enclosed envelope, at the earliest possible date.\nWies : forence M. Johnson\nYours sincerely\nSecretary Manhattan Local Committeo Chairman\nor\nRed tress Nürsing Service\nSecretary.\n508 Madison Committee.\nNex York City\nName in full Jane Elizabeth Hitchcock\nIf married, give husband's name\nPermanent address 16Hitchcock St. Amherst, mass.\nProbable address for the next year 71 Willar ST., Brooklyn, 724\nTelephone No main. 5355-7,\nName and (State address relationship) of nearest relative Lucy e.Hetchwels\nWillow St, Backlyn up\nUnderline the type of work you are doing:\nArmy - Navy - U.S.P.H. Hospital\nS.Vet.Hospital - Institutional - Public Health - Private Duty - Industrial.\nAre you an instructor of Red Cross classes in Home Hygiene and care of the sick? uo\nHave you ever been? yes\nBadge No. 6578\nWould you respond to an emergency call in event of epidemic, disaster, war, etc. ? yes\nCurrent date Mar, 30, 1925\nNOTE. If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled."
}