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Abraham Golubow's Application for Admittance to JCRS, 1909 June 28

 Item
Identifier: B002.01.0101.0085.00001

Overview

Application for admittance to the JCRS filled out by hand in ink for Abraham Golubow. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed by Abr. Golubow. At the bottom of the page, under "Recommendation," handwritten in ink it reads "letter from Mr. Masliansky." The back of the form has a section entitled "Report of Medical Examiner" which is blank. The middle section on the back is a form filled out by hand in ink. It reads "Application No. 1146, Case No. 787, Abr Golubow, Received June 28 1909, Accepted June 28 1909, Admitted June 29 1909." The bottom has a section entitled "Admission and Dismission Committee" which has been left blank.

Dates

  • 1909 June 28

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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