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Abe Goldman's Application for Admittance to JCRS, 1908 September 11-1908 October 18

Identifier: B002.01.0100.0061.00001


Application for admittance to JCRS filled out by hand in ink for Abe Goldman. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed by Abe Goldman. At the bottom of the page, under "Recommendation" has been left blank. The back of the from includes a section entitled "Report of Medical Examiner" which has been left blank. The middle section of the back is a from filled out by hand in ink. It reads "Application No. 899, Case No. 610, Abram Goldman, Received Sept. 14 1908, Accepted Sept. 11 1908, Admitted Sept. 11 1908, Died Oct. 18, 1908". Underneath there is a stamp that reads "Emergency".


  • 1908 September 11-1908 October 18


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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.

Materials Specific Details

On the front top right corner, handwritten in ink it reads "Emergency".


Title supplied by archivist.

Repository Details

Part of the Special Collections and Archives Repository

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