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Abe Vicksman's Application for Admittance to JCRS, 1908 July 3

 Item
Identifier: B002.01.0100.0015.00001
Application for admittance to JCRS filled out by hand in ink for Abe Vicksman. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Abe Vicksman. The back of the form has section entitled "Report of Medical Examiner," which is blank. The middle section of the back is a form filled out by hand in ink. It reads "Application No. 831 Case No. 561, Application of, Abe Vicksman, Received July 3, 1908, Accepted July 3, 1908, Admitted July 3, 1908, Left July 6, 1908." The bottom of the page reads "Admission and Dismission Commitee" which is blank.

Dates

  • 1908 July 3

Creator

Language of Materials

From the Collection: The records are primarily in English, but some materials are in other languages, including Hebrew, Yiddish, German, and Russian.

Conditions Governing Use

Copyright restrictions may apply. User is responsible for all copyright compliance.

Extent

1 items (application)

Scope and Contents

From the Series: This series of patient records includes medical reports and histories, statistical data of patients, x-rays, and death certificates. The patient files include applications, correspondence and some may also contain photographs and personal items.

Inscriptions and Marks

On the top left of the front page, written in ink and underlined reads "Emergency." On the back middle of the page, above Application No. and Case No. is stamped "EMERGENCY." To the right of Remarks is another stamp which reads "EMERGENCY."

General

Title supplied by archivist.

Repository Details

Part of the Special Collections and Archives Repository

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