Application of A. Aisenberg to JCRS, 1906 September 7
Application for admittance to JCRS filled out by hand for A. Aisenberg and is dated Sep 7, 1906. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed A. Aisenberg. 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. 305, case 257, Application of A. Aisenberg, Received Sep. 7, 1906, Date of Admission, February 2 1907, Date of Discharge, July 6 1907, Keep his application, [illegible] note, His land lady Mrs. Miller states that he has plenty of money, Any note made must be dated. All notes to be made with pencil and informants initials [illegible] word, CDS (handwritten)."
- 1906 September 7
- Jewish Consumptives' Relief Society (U.S.) (Producer, Organization)
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1 items (application)
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
Fair 31 x 22 centimeters
title supplied by archivist
Inscription and Marks
Handwritten in black ink, at top of page: "305." Handwritten in pencil, at top of page: "9/7/06." Stamped in blue ink, at bottom left-hand corner: "Received Sep 7 1906, Accepted, Admitted, Discharged, Left, Died." Handwritten in pencil, at bottom left-hand corner: "[illegible] note, CDS 1-15-07."