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Death Certificate of Simon Wasserstein, 1909 January 6

 Item
Identifier: B002.01.0100.0077.00002

Overview

Death certificate of Simon Wasserstein from the state of Colorado. Information on the form includes age, sex, date of birth, marital status, birthplace, occupation, information on relatives, date of death which is "Jan 6th, 1909," Cause of death listed as Pulmonary tuberculosis, signed by J. B. Fish January 6, 1909 in Edgewater, Colorado. States filed January 11, 1909 by J. L. Davidson. Place of burial listed as "Rose Hill Cemetary," date of burial was January 8, 1909. The back of the form states that it is certifying the death certificate of Simon Wasserstein, signed in ink by J. L. Davidson.

Dates

  • 1909 January 6

Creator

Conditions Governing Use

Copyright restrictrions may apply. User is responsible for all copyright compliance.

Extent

1 items (death certificate)

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.

Materials Specific Details

Top left corner stamped in black ink "Jefferson County." Top left corner handwritten in pencil "928" which is Simon Wasserstein's JCRS patient number. On the back of the form, handwritten in ink "Kindly return this."

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