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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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