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Meyer Buxbaum's 1st Application for Admittance to JCRS, 1905 July 31

 Item
Identifier: B002.01.0100.0104.00003

Overview

First 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 "July 31/05" [sic]. The application includes the patient's name, gender, age, place of birth, occupation, residential information, medical information, marital status, number of children and their ages, means of support, and "names and addresses of your nearest relatives or friends Miss Esther Buxbaum 328 E. 52nd NY City," and signed by Meyer Buxbaum [sic]. The bottom section of the application reads, "RECOMMENDATION," and has been left blank. The back side of the application has two sections which read, "REPORT OF MEDICAL ADVISORY BOARD" and "REPORT OF EXECUTIVE COMMITTEE," which have both been left blank. Under the two blank sections is one last section and it reads, "NO 112 - 61 APPLICATION OF Meyer Buxbaum July 31/05 Date of Admission Aug. 16 1905 Date of Discharge April 9 1906" [sic].

Dates

  • 1905 July 31

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.

Inscriptions and marks

Written in pen at the top of the application reads, "112 Recev 7.31.05 Art" [sic]. Written to the left of the signature in pencil reads, "Admit 8-16-05 A+D" [sic]. Written under the back-middle section in pencil reads, "Dischrg April 20, 06 3-28-06" [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 pen at the top of the application reads, "112 Recev 7.31.05 Art" [sic]. Written to the left of the signature in pencil reads, "Admit 8-16-05 A+D" [sic]. Written under the back-middle section in pencil reads, "Dischrg April 20, 06 3-28-06" [sic].

General

Title supplied by archivist

Creator

Repository Details

Part of the Special Collections and Archives Repository

Contact:
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