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Abe Gutnick's Second Application for Admittance to JCRS, 1907 February 18

 Item
Identifier: B002.01.0101.0044.00024

Overview

Second Application for admittance to JCRS filled out by hand in ink for Abe Gutnick. Information on the form includes his age, place of birth, occupation, residence, marital status, previous hospital stays, nearest relatives, and is signed by Abe Gutnick. At the bottom of the page, under "Recommendation," are two names and addresses. The first reads "Mr. Isaacson, 1513 Larimer St." The second reads "M. [illegible], 1607 Larimer St." The back of the form has section entitled "Report of Medical Examiner" which is left blank. The middle section of the back is a form filled out by hand in ink. It reads "Application No. 421, Case No. 423, 2nd application of Abe Gutnick, Address 1517 Dale Court, Denver, Colorado, Received February 18 1907, Accepted Dec. 8 1907, Admitted Dec. 8 1907, Left January 4 1908." At the bottom of the middle section on the back, under "Remarks," are two notes that read "Disraelly and Mr. Lorber visited but he moved away [illegible] 13/07," and "Extend till Feb. 8th 1908, 1/2/08." The bottom of the page reads "Admission and Dismission Committee" which is blank.

Dates

  • 1907 February 18

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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