Sam Davis' Application for Admittance to JCRS, 1911 August 18

Item

Identifier: B002.01.0104.0137.00001

Staff Only

Abstract

Sam Davis' handwritten application for admittance to JCRS. Includes information such as age (28), place of birth (Russia), and occupation (tailor). He was married and had 3 children, and his nearest relatives were his siter in N.Y., and wife in Denver. On the backside it reads he was admitted as an emergency case on August 18, 1911, and left on October 9, 1911.

Dates

1911 August 18

Creator

Jewish Consumptives' Relief Society (U.S.) (Organization)

Conditions Governing Use

This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). http://rightsstatements.org/vocab/InC-EDU/1.0/

Extent

1 Items (application form)

Additional Description

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.