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Application from Joseph Braverman to JCRS, 1905 August 5

 Item
Identifier: B002.01.0097.0067.00002

Overview

Application for admittance to JCRS filled out by hand for Joseph Braverman and dated August 5, 1905. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed Joseph Braverman. 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. 118, Case #59, Application of Joseph Braverman, Aug. 5/05, Date of Admission August 16, 1905, Date of Discharge December 19, 1905.

Dates

  • 1905 August 5

Creator

Rights and Usage Statement

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.

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 front, "Rec'd 8-5-05, All." Handwritten at the bottom left, "Examined-Cavity in one lung. Bad case 8-5-05." "Admit 8-16-05 A&D."

Repository Details

Part of the Special Collections and Archives Repository

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