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Application of Barney Budin to JCRS, 1906 February 8

 Item
Identifier: B002.01.0097.0112.00001

Abstract

Application for admittance to JCRS filled out by hand for Barney Budin and is dated Feb 8, 1906. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed B. Budin.The back of the form has sections titled "Report of Medical Advisory Board" and "Report of Executive Committee," both are blank. The middle section of the back is a form filled out by hand. It reads, "No.... 188, Case # 127, Application of, Barney Budin, Feb 8/06, Date of Admission April 27, 1906, Date of Discharge (crossed) Leaving October 16, 1906."

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Dates

  • 1906 February 8

Creator

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1 Items (application)

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