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Harry Feldman's Application for Admittance to JCRS, 1908 July 6

 Item
Identifier: B002.01.0100.0017.00001

Overview

Application for admittance to JCRS filled out by hand in ink for Harry Feldman. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Harry Feldman. At the bottom of the page under "Recommendation," are two names and addresses. Samuel Miller, 1378 King St., and George G. Klein, 411 25th St. The back of the form has section entitled "Report of Medical Examiner," which is dated "July 10 1908" in ink and is partially illegible. Remarks reads "Rough rest upper 1/4 posterior with fine [compilant] [illegible] [thick] are not constant but can envariably be elected by act of cough." Remarks are signed "C.D. Spivak." The middle section of the back is a form filled out by hand in ink. It reads "Application No. 833 Case No. 596, Application of, Harry Feldman, Address 1522 Julian St., Denver, Received July 6, 1908, Accepted Aug 22, 1908, Admitted Aug 24, 1908, Left Sept, 16, 1908." The bottom of the page reads "Admission and Dismission Commitee" which is blank.

Dates

  • 1908 July 6

Creator

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

Written in pencil under Remarks on the back page reads "To take in at once, Disraelly."

General

Title supplied by archivist.

Repository Details

Part of the Special Collections and Archives Repository

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