Abe Levy's Application for Admittance to JCRS, 1908 September 24
Application for admittance to JCRS filled out by hand in ink for Abe Levy. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed but Abe Levy. At the bottom of the page under "Recommendation," has been left blank. The back of the form has a section entitled "Report of Medical Examiner" which states that the examination was made one day prior to filling out the application and signed by D.C. Elbalbach. The middle section on the back is a form filled out by hand in ink. It reads "Application No. 917, Case No 631, Abe Levy (Abe Jobe), 2929 W 16th Ave, Received Sept 25 1908, Accepted Oct 6 1908, Admitted Oct 7 1908, Discharged July 29 1909." Underneath handwritten in pencil, mostly illegable but is dated Oct. 1/08. The bottom of the page reads "Admission and Dismission Committee" which is blank.
- 1908 September 24
- Jewish Consumptives' Relief Society (U.S.) (Producer, Organization)
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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.
Title supplied by archivist.