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Gabriel Cohen's Application for Admittance to JCRS, 1908 July 13

 Item
Identifier: B002.01.0100.0022.00001

Overview

Application for admittance to JCRS filled out by hand in ink for Gabriel Cohen. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Gabriel Cohen. 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. 840 Case No. 568, Application of, Gabriel Cohen, Received July 13, 1908, Accepted July 13, 1908, Admitted July 13, 1908, Discharged Oct. 6, 1909" The bottom of the page reads "Admission and Dismission Commitee" which is blank.

Dates

  • 1908 July 13

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

On the back middle of the page, in the Remarks section, is a stamp which reads "EMERGENCY" and a note in pencil which reads "Is in Phila, Pa. Nov. 2/08."

General

Title supplied by archivist.

Repository Details

Part of the Special Collections and Archives Repository

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