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Overview Application for admittance to JCRS filled out by hand for David Kammin and dated May 31, 1907. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed David Kammin. The back of the form has sections titled "Report of Medical Examiner" and "Admission and Dismission Committee," are blank. The middle section of the back is a form filled out by hand. It reads, "Application No. 494, Case No. 332, Application of, David Kammin,...
Dates: 1907 May 31