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Alexander Alt's Application for Admittance to JCRS, 1909 October 4

 Item
Identifier: B002.01.0101.0138.00001

Overview

Application for admittance to JCRS filled out by hand in ink for Alexander Alt. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed by Alexander Alt. At the bottom of the page, under "Recommendation," are two names. First one reads "Charles Behrman, 3235 Conegos Court" and the second name is "Sam Rodtnan, 1440 Konx Ct." The back of the form has a section entitled "Report of the Medical Examiner" which states that the exam was made one day prior to the date the application was filled out. The middle section of the back is a form filled out by hand in ink. It reads "Application No. 1238, Alexander Alt, 1440 Knox Ct., Received Oct. 4 1909". Under remarks it reads "App filed apr 23/10. Alt working and does not wish to ender as per upon of S.F. Disraelly". The bottom of the page reads "Admission and Dismission Committee" which is blank.

Dates

  • 1909 October 4

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.

General

Title supplied by archivist.

Repository Details

Part of the Special Collections and Archives Repository

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