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Blank Application Form, 1911 August 8

Identifier: B002.01.0104.0131.00002


Blank application for admittance to JCRS. The front part is blank, and the backside reads Anna Rosenberg was amitted to the sanatorium on October 26, 1911, and left on December 22, 1911.


  • 1911 August 8


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1 items (application form)

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.


Title supplied by archivist.

Repository Details

Part of the Special Collections and Archives Repository

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