Application of Alexander Raisin to JCRS, 1906 March 6

Item

Identifier: B002.01.0097.0125.00012

Staff Only

Abstract

Application for admittance to JCRS filled out by hand for Alexander Raisin 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 A. Raisin. 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, "205, Case # 118, Application of, Alexander Raisin, Date of Admission, March 29 1906, Date of Discharge (crossed out) leaving May 15 1906."

Dates

1906 March 6

Creator

Jewish Consumptives' Relief Society (U.S.) (Producer, 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)

Additional Description

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

Poor Multiple tears on left side of application. 31 x 20 centimeters

General

reformatted digital

title supplied by archivist

Inscription and Marks

Stamped in blue ink at top of right-hand corner: "Received Mar 6 1906, Accepted, Admitted, Discharged, Left May 15 1906, Died." Handwritten note in pencil at bottom lefthand corner: "Write letter to [illegible] name, about his loans-has no money they [illegible] ending."