Anna Holmstock's application to JCRS, 1906 November 3
Application for admittance to JCRS filled out by hand for Anna Holmstock and dated November 3, 1906. Information on the form includes her age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Anna Holmstock in Yiddish. The back of the form has sections titled "Report of Medical Examiner" which is blank. The middle section of the back has "Application No. 350. Case no 217 Application of Anna Holmstock, Address 1600 Sheridan Blvd, Denver, Recieved November 3 1906, Accepted November 8 1906, Admitted November 9 1906, Left May 24 1907."
- 1906 November 3
- Jewish Consumptives' Relief Society (U.S.) (Producer, Organization)
Rights and Usage Statement
Copyright restrictions may apply. User is responsible for all copyright compliance.
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 28 x 22 centimeters
Title supplied by archivist
Inscription and Marks
The signature is in Yiddish.