Application of Morris Strymber to JCRS, 1905 July 20

Item

Identifier: B002.01.0097.0063.00001

Staff Only

Abstract

Application for admittance to JCRS filled out by hand for Morris Strymber and dated July 20, 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. 111, 62 [both crossed out] 111, Case #70, Application of Morris Strymberg, July 20/05, Date of Admission Sept. 19, 1905, Died January 13, 1906.

Dates

1905 July 20

Creator

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

Rights and Usage Statement

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)

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.

Physical Characteristics and Technical Requirements

Fair 30 x 22 centimeters

General

reformatted digital

Title supplied by archivist.

Inscription and Marks

Handwritten at the top of the application, "His wife is in insane asylum. Mrs Feinberg called and told a pitiful tale. 9-19-05." Handwritten in the upper righthand corner, "Rec'd 7/20/05, all, 9/19-05." Stamped just below this inscription in blue ink, and filled out in black ink, "Received July 20 - 05, Admitted Sept. 19-05, Discharged, Left Male, Died Jan. 13, 06." Handwritten at the bottom of the application, "Died Jan. 13."