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FORM 1045
REV. 1-2-35
THE AMERICAN RED CROSS
NATIONAL HEADQUARTERS
WASHINGTON, D.C.
di
QUESTIONNAIRES
DESTROYED
Dear Madam:
The National Committee on Red Cross Nursing Service requires us to submit,
annually, a report of all the Red Cross Nurses enrolled with our Committee. Will you
therefore, please answer the following questions and return this form to me, in the
enclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED
WITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-
ognize the value of filing this information and will return the questionnaire promptly,
as we are extremely anxious to make a very complete report to National Headquarters.
IMPORTANT:
Yours sincerely,
In order to render prompt service
Chairman or
in time of disaster, enrolled Red Cross
Marguerite Norway, Secretary
Secretary.
Nurses should report at once to the
Secretary of the Local Committee under
LOCAL RED CROSS COMMITTEE
1218 Menia Ave
Local Committee.
which they are enrolled. Do not forget
the address of the Secretary.
Angeles, California
Name in full lone Elizabeth Stephensom Lamb
0
If married, give husband's name
Clarence alfred Lamb
I
Permanent address 5425 (STREET, ETC.) North Hollyprood (CITY) (COUNTY) Loslugha California (STATE)
Probable address for the next year 5425 (STREET. ETCA
Telephone No. See 2952
(CITY) (COUNTY) eugho California (STATE)
Name and address of nearest relative or friend, in United States, through whom you may
be communicated with in an emergency. (State relationship)
Underline Clarence the type affered of work Lamble you (Husband) doing: 5425 Bellingham
are now
Army - Navy U.S.P.H. Service - Veterans Administration - U.S. Indian Service -
Public Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.
Are you instructor of Red Cross classes Hygiene Care of the Sick? no
an in Home and
Have you ever been?
no
Indicate present physical condition Good
Would respond emergency epidemic, disaster, etc.? yes
you to an call in event of war,
Badge No. 20385
Current date march 24, 1939
NOTE.--If the nurse does not complete and return this questionnaire, and can not be
located within two years, her enrolment will be removed from our active files.
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Document data
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Context sent to Scholar
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"ocrText": "FORM 1045\nREV. 1-2-35\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D.C.\ndi\nQUESTIONNAIRES\nDESTROYED\nDear Madam:\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a report of all the Red Cross Nurses enrolled with our Committee. Will you\ntherefore, please answer the following questions and return this form to me, in the\nenclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED\nWITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-\nognize the value of filing this information and will return the questionnaire promptly,\nas we are extremely anxious to make a very complete report to National Headquarters.\nIMPORTANT:\nYours sincerely,\nIn order to render prompt service\nChairman or\nin time of disaster, enrolled Red Cross\nMarguerite Norway, Secretary\nSecretary.\nNurses should report at once to the\nSecretary of the Local Committee under\nLOCAL RED CROSS COMMITTEE\n1218 Menia Ave\nLocal Committee.\nwhich they are enrolled. Do not forget\nthe address of the Secretary.\nAngeles, California\nName in full lone Elizabeth Stephensom Lamb\n0\nIf married, give husband's name\nClarence alfred Lamb\nI\nPermanent address 5425 (STREET, ETC.) North Hollyprood (CITY) (COUNTY) Loslugha California (STATE)\nProbable address for the next year 5425 (STREET. ETCA\nTelephone No. See 2952\n(CITY) (COUNTY) eugho California (STATE)\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nUnderline Clarence the type affered of work Lamble you (Husband) doing: 5425 Bellingham\nare now\nArmy - Navy U.S.P.H. Service - Veterans Administration - U.S. Indian Service -\nPublic Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nAre you instructor of Red Cross classes Hygiene Care of the Sick? no\nan in Home and\nHave you ever been?\nno\nIndicate present physical condition Good\nWould respond emergency epidemic, disaster, etc.? yes\nyou to an call in event of war,\nBadge No. 20385\nCurrent date march 24, 1939\nNOTE.--If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be removed from our active files."
}