Contract Surgeon Passenger List - n.d.

Transcript

Sheet No. Class HEADQUARTERS PORT OF EMBARKATION, HOBOKEN, NEW JERSEY PASSENGER LIST OF ORGANIZATIONS AND CASUALS INSTRUCTIONS FOR FILLING OUT THIS FORM Separate lists of FIVE COPIES EACH, will be filled out by each company or detachment commander as follows: 1st List: Officers arranged according to rank, Army Field Clerks, Field Clerks Q.M.C., Nurses and Civilian Employees. Names should be numbered consecutively beginning with No. 1. 2d List: Non-commissioned Officers above Grade 17, (Par. 9, A. R.), arranged according to grade. 3d List: Enlisted men below Grade 16, (Par. 9, A. R.), arranged according to the usual formation of the Company, that is, by squads. These names should be numbered consecutively beginning with No. 1. [blank fields] No. NAME (Family name followed by Christian name and middle initial, same as on service record. Army Serial Number immediately under each name.) Rank & Corps. Ex’ple: Capt. QMRC Organization NOTIFY IN CASE OF EMERGENCY (Give name in full, for example: Mrs. Mary A. Smith) Relationship ADDRESS (Number, Street, City and State) Do not abbreviate. Leave double space between entries. All typewriting must be in CAPITAL LETTERS #1 LEONARD, ESTHER E. CONT. SURG. MED. CORPS MRS. LEE EAGAN MOTHER 909 SO. WALNUT STREET, CENTRAILIA, ILLINOIS. #2 HOCKER, ELIZABETH M. CONT. SURG MED. CORPS. MRS. FRANK SWING SISTER 265 SENATOR PLACE, CLIFTON, CINCINNATI, OHIO #3 PEEBLES, MARTHA J. CONT. SURG. CORPS. DR. JESSIE EDWARDS FRIEND 132 HALSEY STREET, BROOKLYN, NEW YORK, [New York] #4 GRAY, ISABEL S. CONT. SURG. MED. CORPS. MRS. ALPHOUS DUR FRIEND 6173 WASHINGTON AVENUE, ST. LOUIS, [Missouri] #5 HORN, DORA L. CONT. SURG MED. CORPS. MR. WILLIAM ERF UNCLE BELLEVUE, OHIO. R. F. D. #6. #6 SOUTHGATE, JESSIE CONT. SURG. MED. CORPS MRS. J.M. SOUTHGATE MOTHER 4TH & PARK AVENUE, NEWPORT, KENTUCKY. #7 SMITH, EDITH CONT. SURG. MED. CORPS. MRS. B. FRANK HEWSON SISTER 211 - 3rd STREET, ORANGE, TEXAS. DISPOSITION: Five copies of this list to be handed to the representative of embarkation personnel adjutant’s office at gangplank by which company embarks. (Signature of Company Commander.) Esther E. Leonard (Rank) Contract Surgeon