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Meyer Buxbaum's 3rd Application for Admittance to JCRS, 1908 November 26

 Item
Identifier: B002.01.0100.0104.00001

Overview

Third Application for Admittance filled out in ink for JCRS patient #973 Meyer Buxbaum "[t]o the Executive Committee of the Jewish Consumptives' Relief Society, Denver, Colorado" dated "November 26 - 1908" [sic]. The application includes patient's name, age, place of birth, occupation, resident information, medical information, marital status, number and ages of children, and nearest relatives of friends "([f]ather) Simon Buxbaum, 79 Smith St. Perth Amboy NJ, (sister) Mrs. I greenberg 1779 Fulton St New York NY," and the application is signed Meyer Buxbaum. The bottom of the application reads, "RECOMMENDATION," and has been left blank. The back of the application reads, "REPORT OF MEDICAL EXAMINEER," and has been left blank. The back-middle section of the application reads, "Application No. 973 Case No. 692 2nd [3rd] APPLICATION OF Meyer Buxbaum...Received Nov. 26, 1908, Accepted Feb. 8 1909, Admitted Feb. 9 1909, Died Apr. 21 1909" [sic]. The bottom of the back of the application reads, "ADMISSION AND DESMISSION COMMITTEE," and has been left blank.

Dates

  • 1908 November 26

Creator

Inscriptions and marks

Written in pencil on the top of the back-middle section of the application reads, "at once" [sic].

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 on the top of the back-middle section of the application reads, "at once" [sic].

General

Title supplied by archivist.

Creator

Repository Details

Part of the Special Collections and Archives Repository

Contact:
2150 East Evans Avenue
Denver CO 80208
(303) 871-3428