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

Identifier: B002.01.0100.0026.00001


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.


  • 1908 July 17


Conditions Governing Use

Copyright not evaluated: The copyright and related rights status of this Item has not been evaluated. Please refer to the organization that has made the Item available for more information. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. See:


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."


Title supplied by archivist.

Repository Details

Part of the Special Collections and Archives Repository

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