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# 8344
Form No. 469-(3)
THE AMERICAN RED CROSS
ENROLLMENT FORM
M W
Pacific DMojagemumber
To
DIVISION OF FILES AND RECORDS,
From Nursing Department
BUREAU OF PERSONNEL.
Date April 14, 1919
Approved
1. Name
Bruner, Hazel See (Nurse)
2. Address
431 second St., Santa Rosa, Calif.
3. Temporary address, if any
4. Going to what countries
iberia
5. Nature of work
Enrolled Red Cross Nurse
6. Suggested rank
7. Length of stay (six months or over ?)
1 year or more
8. Proposed approximate date of departure
Booked
Sailed
9.
Cable number in compliance with which above is being sent
liberi an - 55
10. Is appointee volunteer ?
No
Chargeable to
day of depar ture for
Appropriation
11. If not volunteer, what salary per month is promised ? $ 70.00
12. To begin San Francisco
13. What allowance, if any, for transportation in United States? $
To San Francisco and return
14. What allowance, if any, for transportation (steamship) ? $
20. destination and return
4.00 day from date requested to report
15. What allowance, if any, for living expenses prior to departure? $-in-San franciscoto day of dailing
16. What allowance, if any, for uniform equipment? $ Yes, 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 ?
19. Has the proper form been sent to the Life Extension Institute?
THE AMERICAN RED CROSS
NATIONAL HEADQUARTERS
PASSPORT BUREAU,
WASHINGTON, D. C.
DEPARTMENT OF STATE,
1423 NEW YORK AVENUE,
WASHINGTON, D. C.
of
appointed
in the service of the American National Red Cross, expects to sail
Date of Birth - August 7, 1891
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- 5f66de45d271e685
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- unknown
Document data
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- 2662021
- Core
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- Type
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DTO data
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Context sent to Scholar
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"ocrText": "# 8344\nForm No. 469-(3)\nTHE AMERICAN RED CROSS\nENROLLMENT FORM\nM W\nPacific DMojagemumber\nTo\nDIVISION OF FILES AND RECORDS,\nFrom Nursing Department\nBUREAU OF PERSONNEL.\nDate April 14, 1919\nApproved\n1. Name\nBruner, Hazel See (Nurse)\n2. Address\n431 second St., Santa Rosa, Calif.\n3. Temporary address, if any\n4. Going to what countries\niberia\n5. Nature of work\nEnrolled Red Cross Nurse\n6. Suggested rank\n7. Length of stay (six months or over ?)\n1 year or more\n8. Proposed approximate date of departure\nBooked\nSailed\n9.\nCable number in compliance with which above is being sent\nliberi an - 55\n10. Is appointee volunteer ?\nNo\nChargeable to\nday of depar ture for\nAppropriation\n11. If not volunteer, what salary per month is promised ? $ 70.00\n12. To begin San Francisco\n13. What allowance, if any, for transportation in United States? $\nTo San Francisco and return\n14. What allowance, if any, for transportation (steamship) ? $\n20. destination and return\n4.00 day from date requested to report\n15. What allowance, if any, for living expenses prior to departure? $-in-San franciscoto day of dailing\n16. What allowance, if any, for uniform equipment? $ Yes, requisitioned at New York office\n17. What allowance, if any, for living expenses abroad? $\nYes. regulation allowance\n18. Is there to be an assignment of part or all of salary ?\n19. Has the proper form been sent to the Life Extension Institute?\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nPASSPORT BUREAU,\nWASHINGTON, D. C.\nDEPARTMENT OF STATE,\n1423 NEW YORK AVENUE,\nWASHINGTON, D. C.\nof\nappointed\nin the service of the American National Red Cross, expects to sail\nDate of Birth - August 7, 1891"
}