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Application of George Lelansky to JCRS, 1906 May 15

 Item
Identifier: B002.01.0097.0124.00003

Abstract

Application for admittance to JCRS filled out by hand for George Lelansky and is dated March 15, 1906. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed G A Lelansky. 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, "203, Case # 132, Application of, George Lelansky Mar 15/06, Date of Admission, May 7 1906, Date of discharge april 27 1907."

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Dates

  • 1906 May 15

Creator

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1 Items (application)

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