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Ethel Lockman's Application for Admittance to JCRS, 1910 July 15-1911 February 14

 Item
Identifier: B002.01.0103.0012.00001

Overview

Application for admission to JCRS filled out by hand in ink for Ethel Lockman. Information on the form includes her age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed in Yiddish [archivist infers the signature is of Ethel Lockman]. At the bottom of the page, the section "Recommendation," is left blank. 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.1514, Case No.1025, Application of Ethel Lockman, Address Denver, Colo., Received July 15 1910, Admitted July 15 1910, Left February 14/11." The bottom of the page has a section titled "Admission and Dismission Committee" which is blank.

Dates

  • 1910 July 15-1911 February 14

Creator

Language of Materials

Materials mostly in English, except for Ethel Lockman's 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

Contact:
2150 East Evans Avenue
Denver CO 80208
(303) 871-3428