Application from Reuben Morosky to JCRS, 1905 August 16
Application for admittance to JCRS filled out by hand for Reuben Morosky and dated August 14, 1905. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed in Yiddish. 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. It reads, "No. 128, Case #63, Application of Reuben Morosky, Aug. 4/05, Date of Admission August 15, 1905, Died December 6, 1906. Handwritten below: "Buried in Mount. Nebo Cemetery December 6/06. Section 25, Lot 5.
- 1905 August 16
- Jewish Consumptives' Relief Society (U.S.) (Recipient, Organization)
Rights and Usage Statement
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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
Title supplied by archivist.
Inscription and Marks
Handwritten at the top of the front of the application, "Is starving! 8-15-05," "128," "Rec'd Aug 4, 1905," and "all." Handwritten at the bottom left, "Admitt 8-16-05, A&D." Handwritten in red over the back middle section, "Case #70