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Application of Louis Fisher to JCRS, 1906 April 20

 Item
Identifier: B002.01.0097.0134.00005

Abstract

Application for admittance to JCRS filled out by hand for Louis Fisher and is dated April 20, 1906. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed Louis Fisher. 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. 214, Case #131 (crossed out) 128, Application of, Louis Fisher, Apr 26/06, Date of Admission, April 27 1906, Date of Discharge (crossed out) Death, June 27 1906, Buried in Mount Nebo Cemetery 6/24/06 Sec. L. Lot. 15 (handwritten)."

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Dates

  • 1906 April 20

Creator

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)

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