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Alex Berkson's Application for Admittance to the JCRS, 1909 August 20

 Item
Identifier: B002.01.0101.0117.00001

Overview

Application for admittance to the JCRS filled out by hand in ink for Alex Berkson. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed by Alex Berkson. At the bottom of the page, under "Recommendation," it reads "Letter from Karnaiko." The back of the form has a section entitled "Report of Medical Examiner" which states Berkson's physical exam was made 3 days prior to filling out the application, it is signed by C. Elbalback. The middle section of the back is a form filled out by hand in ink. It reads "Application No. 1202, Case No 842, Alex berkson, 1471 Knox Ct., Received Aug 20 1909, Admitted Sept 28 1909, Left Sept 26 1910." The bottom of the page reads "Admission and Dismission Committee" which has been left blank.

Dates

  • 1909 August 20

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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