Thomas Leahy's Application for Admittance to JCRS, 1909 February 26
Emergency application for admittance to JCRS filled out by hand in ink for Thomas Leahy. Information on the form includes his age, place of birth, occupation, residence, marital status, nearest relatives, and is signed by Thomas Leahy. At the bottom of the page, the "Recommendation" section is left blank. The back of the form has section entitled "Report of Medical Examiner," and is left blank. The middle section of the back is a form filled out by hand in ink. It reads, "Application No. 1033, Case No. 699, Application Thomas Leahy, Received Feb 26 1909, Accepted Feb 26 1909, Admitted Feb 26 1909, Died Mar 3 1909." The bottom of the page reads "Admission and Dismission Committee" which is blank.
- 1909 February 26
- 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.
Physical Characteristics and Technical Requirements
At the top of the front of the application the word "Emergency" is written in black ink next to the date of application. On the back middle section "EMERGENCY" is stamped in blue ink.
Title supplied by archivist.