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Jacob Greenberg's Application for Admittance to JCRS, 1909 April 19

 Item
Identifier: B002.01.0101.0047.00001

Overview

Application for admittance to JCRS filled out by hand in ink for Jacob Greenberg. Information on the form includes his age, place of birth, occupation, residence, marital status, children's ages, membership to beneficial societies or lodges, nearest relatives, and is signed in Yiddish. At the bottom of the page is a section entitled "Recommendation" which is left blank except for a note that reads "Letter from Jacob Schoen." Back of the form has section entitled "Report of Medical Examiner" which states the exam took place on April 19 1909 and found the patient's stage of tuberculosis to be "doubtful." Medical examiner's remarks are illegible and it is signed by Emanuel Friedman. The middle section of the back is a form filled out by hand in ink. It reads "Application No. 1083, Case No. 750, Application of Jacob Greenberg, Address 1361 11th St., Received Apr 19 1909, Accepted May 4 1909, Admitted May 7 1909, Left Oct 5 1909." The bottom of the page reads "Admission and Dismission Committee" which is blank.

Dates

  • 1909 April 19

Creator

Language of Materials

Materials mostly in English except for a signature.

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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