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Z FORM 1045--REV. 2-24-27 NATIONAL OFFICERS CENTRAL COMMITTEE CALVIN COOLIDGE. PRESIDENT JOHN BARTON PAYNE, CHAIRMAN eld MRS, AUGUST BELMONT ROBERT w. DE FOREST, VICE PRESIDENT CORNELIUS N. BLISS WILLIAM HOWARD TAFT. VICE PRESIDENT THE AMERICAN RED CROSS MABEL T. BOARDMAN WILLIAM D. MITCHELL, COUNSELOR MRS, HENRY P. DAVISON = NATIONAL HEADQUARTERS CHARLES s. DEWEY CHARLES s. DEWEY, TREASURER E.B. DOUGLAS MABEL T. BOARDMAN. SECRETARY WASHINGTON. D.C. . JOSEPH c. GREW e MRS. FRANK v. HAMMAR HERBERT HOOVER NATIONAL EXECUTIVE OFFICERS MAJ. GEN, M. W.IRELAND WILLIAM D. MITCHELL JOHN BARTON PAYNE, CHAIRMAN w. w. MORROW GUSTAVUS D. POPE JAMES L. FIESER, VICE CHAIRMAN MRS. HENRY R. REA ERNEST P. BICKNELL, VICE CHAIRMAN JOHN D. RYAN GEORGE E. SCOTT REAR ADMIRAL E, R, STITT Dear Madam: 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 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. IMPORTANT: Yours sincerely, In order to render prompt service in time of disaster, enrolled Red Cross nurses should report at once to the District of Columbia Local many SHanshoma Chairman or Secretary Secretary of the Local Committee under Committee. which they are enrolled. Do not forget the address of the Secretary. Name in full Reed Nelle - If married, give husband's name Probable address for the next year 1155-16 st Wash. Db Permanent address 1155-16St Telephone No. North 2013 Mrs T.W. Holmes, Centreville Md, Name and address of nearest relative or friend, in United States, through whom you may be communicated with in an emergency. (State relationship) mrsT. IN. Holmes, S,ster - Centreville, maryland Underline the type of work you are now doing: - Army - Navy - U.S.P.H. Hospital - U.S.Vet. Hospital - Public Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar. Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no Have you ever been? no Indicate present physical condition Good Would you respond to an emergency call in event of epidemic, disaster, war, etc.? yes Badge No. 28 Current date mar, 10 1927 NOTE. - If the nurse does not complete and return this questionnaire, and can not be located within two years, her enrollment will be annulled. 2 &

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    "ocrText": "Z\nFORM 1045--REV. 2-24-27\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nCALVIN COOLIDGE. PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\neld\nMRS, AUGUST BELMONT\nROBERT w. DE FOREST, VICE PRESIDENT\nCORNELIUS N. BLISS\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nTHE AMERICAN RED CROSS\nMABEL T. BOARDMAN\nWILLIAM D. MITCHELL, COUNSELOR\nMRS, HENRY P. DAVISON\n=\nNATIONAL HEADQUARTERS\nCHARLES s. DEWEY\nCHARLES s. DEWEY, TREASURER\nE.B. DOUGLAS\nMABEL T. BOARDMAN. SECRETARY\nWASHINGTON. D.C.\n.\nJOSEPH c. GREW\ne\nMRS. FRANK v. HAMMAR\nHERBERT HOOVER\nNATIONAL EXECUTIVE OFFICERS\nMAJ. GEN, M. W.IRELAND\nWILLIAM D. MITCHELL\nJOHN BARTON PAYNE, CHAIRMAN\nw. w. MORROW\nGUSTAVUS D. POPE\nJAMES L. FIESER, VICE CHAIRMAN\nMRS. HENRY R. REA\nERNEST P. BICKNELL, VICE CHAIRMAN\nJOHN D. RYAN\nGEORGE E. SCOTT\nREAR ADMIRAL E, R, STITT\nDear Madam:\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a list of all the Red Cross Nurses enrolled with our Committee, with their\nlatest addresses. We are extremely anxious to make a very complete report to National\nHeadquarters and ask for your cooperation. Please answer the following questions and\nreturn this form to me, in the enclosed envelope, at the earliest possible date.\nIMPORTANT:\nYours sincerely,\nIn order to render prompt service\nin time of disaster, enrolled Red Cross\nnurses should report at once to the\nDistrict of Columbia Local\nmany SHanshoma\nChairman or\nSecretary\nSecretary of the Local Committee under\nCommittee.\nwhich they are enrolled. Do not forget\nthe address of the Secretary.\nName in full Reed Nelle\n-\nIf married, give husband's name\nProbable address for the next year 1155-16 st Wash. Db\nPermanent address 1155-16St\nTelephone No. North 2013\nMrs T.W. Holmes, Centreville Md,\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nmrsT. IN. Holmes, S,ster - Centreville, maryland\nUnderline the type of work\nyou are now doing: - Army - Navy - U.S.P.H. Hospital - U.S.Vet. Hospital - Public\nHealth - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nAre you an instructor of Red Cross classes\nin Home Hygiene and Care of the Sick? no\nHave you ever been? no\nIndicate present physical condition Good\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.? yes\nBadge No. 28\nCurrent date mar, 10 1927\nNOTE. - If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled.\n2\n&"
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