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Barnet Jacobs' Application for Admittance to JCRS, 1908 July 17

 Item
Identifier: B002.01.0100.0026.00001

Overview

Application for admittance to JCRS filled out by hand in ink for Barnet Jacobs. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Barnet Jacobs. The back of the form has section entitled "Report of Medical Examiner," next to stage reads "Condensation, No moisture." Next to "Remarks" reads "Patient has arrested functioning of Right apex-No fever-[Threat unstable]" and is signed Emanuel Friedman. The middle section of the back is a form filled out by hand in ink. It reads "Application No. 847 Case No. 583, Application of, Barnet Jacobs, 2929 W. 16th Ave., Denver, Received July 20, 1908, Accepted July 29, 1908, Admitted July 31, 1908, Died Aug. 29, 1908" The bottom of the page reads "Admission and Dismission Commitee" which is blank.

Dates

  • 1908 July 17

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 on the back middle of the page, under "Remarks" reads "7/24/08 wrote to us, Lorber to investigate." Below note is a stamp which reads "EMERGENCY."

General

Title supplied by archivist.

Repository Details

Part of the Special Collections and Archives Repository

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