Duplicate Application for Bluma Eisenberg to JCRS
Abstract
Application for admittance to JCRS filled out by hand for Bluma Eisenberg and dated November 9, 1905. Information on the form includes her age, birth place, occupation, residence, marital status, nearest relatives, and signed by Bluma Eisenberg. 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 reads "Application of," and is also blank.
Dates
- 1905 - 1910
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)
Scope and Contents
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 28 x 22 centimeters
General
Title supplied by archivist.
Inscription and Marks
Handwritten across the front of the application "Duplicate"
Creator
- Jewish Consumptives' Relief Society (U.S.) (Recipient, Organization)
Repository Details
Part of the Special Collections and Archives Repository