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FORM 1045--REV. 2-24-27 NATIONAL OFFICERS CENTRAL COMMITTEE CALVIN COOLIDGE. PRESIDENT JOHN BARTON PAYNE, CHAIRMAN 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 CHARLES S. DEWEY, TREASURER NATIONAL HEADQUARTERS CHARLES s. DEWEY E. B. DOUGLAS MABEL T. BOARDMAN. SECRETARY WASHINGTON. D. C. JOSEPH C. GREW 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 JAN 1 - 1928 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: In order to render prompt service CATHERINE G. BRIGGS, R.N. Yours sincerely Chairman or in time of disaster, enrolled Red Cross SEC'Y OF BOSTON LOCAL COMMITTEE nurses should report at once to the Secretary. RED CROSS NURSING SERVICE Secretary of the Local Committee under 29 LAKEVILLE PLACE Local Committee. which they are enrolled. Do not forget JAMAICA PLAIN, MASS. the address of the Secretary. Name in full Chantel6 If married, give husband's name Frankler Man Permanent address Probable address for the next year fame Telephone No. Transler 394W Name and address of nearest relative or friend, in United States, through whom you may be communicated with in an emergency. (State relationship) Ka tharme withens Franklin Mass 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? Have you ever been? no Indicate present physical condition Good ban not Would you respond to an emergency call in event of epidemic, disaster, war, etc.? Badge No. Current date Jacy IF 7 28 NOTE.--I the nurse does not complete and return this questionnaire, and can not be located within two years, her enrollment will be annulled.

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    "ocrText": "FORM 1045--REV. 2-24-27\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nCALVIN COOLIDGE. PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\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\nCHARLES S. DEWEY, TREASURER\nNATIONAL HEADQUARTERS\nCHARLES s. DEWEY\nE. B. DOUGLAS\nMABEL T. BOARDMAN. SECRETARY\nWASHINGTON. D. C.\nJOSEPH C. GREW\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\nJAN 1 - 1928\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:\nIn order to render prompt service\nCATHERINE G. BRIGGS, R.N.\nYours sincerely\nChairman or\nin time of disaster, enrolled Red Cross\nSEC'Y OF BOSTON LOCAL COMMITTEE\nnurses should report at once to the\nSecretary.\nRED CROSS NURSING SERVICE\nSecretary of the Local Committee under\n29 LAKEVILLE PLACE\nLocal Committee.\nwhich they are enrolled. Do not forget\nJAMAICA PLAIN, MASS.\nthe address of the Secretary.\nName\nin full Chantel6\nIf married, give husband's name\nFrankler Man\nPermanent address\nProbable address for the next year\nfame\nTelephone No. Transler 394W\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nKa tharme withens Franklin Mass\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 in Home Hygiene and Care of the Sick?\nHave you ever been?\nno\nIndicate present physical condition\nGood\nban\nnot\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.?\nBadge No.\nCurrent date Jacy IF 7 28\nNOTE.--I the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled."
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