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Application of Edward Lipkin to JCRS, 1905 July 19

 Item
Identifier: B002.01.0097.0062.00001

Abstract

Application for admittance to JCRS filled out by hand for Edward Lipkin and dated July 19, 1905. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed Edward Lipkin. The back of the form has sections titled "Report of Medical Advisory Board," blank, and "Report of Executive Committee," blank. The middle section of the back is a form filled out by hand in ink. It reads, "No. 110,... Case #67, Application of Edward Lipkin, July 19/05, Date of Admission Sept. 7, 1905, Died October 20, 1905."

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Dates

  • 1905 July 19

Creator

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1 Items (application)

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