JCRS patient #991
CitationFound in B002.01.0100.0113.00001
Found in 1 Collection or Record:
Abstract Application for admittance to JCRS filled out by hand in ink for Max Leipziger and dated "December 14-1908" [sic]. Information on the form includes patient's age, birth place, citizenship, occupation, residential information, medical information, marital status, nearest relatives or friends "(Cousin) Barnet Graham 16th+Morgan St. St. Louis (brother) Nathan Leipziger St. Louis" and is signed "Max Leipziger 1471 Knox Court" Denver, Colo [sic]. The back of the form has a section entitled "REPORT...
Dates: 1908 December 14