Application of Mary Gordon to JCRS, 1907 January 19
Item
Identifier: B002.01.0098.0051.00011
Overview
Application for admittance filled out by hand for Mary Gordon and dated January 18, 1907. Information on the form includes her age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Mary Gordon. The back of the form has sections titled "Report of Medical Examiner," which is blank. The middle section of the back has "Application No. 398. Application of Mary Gordon, Address Denver, Colo, Received January 18, 1907, Accepted January 18, 1907, Admitted January 18, 1907, Died July 21, 1908. Remarks: Buried Sect. L Lot 63.
Dates
- 1907 January 19
Creator
- Jewish Consumptives' Relief Society (U.S.) (Producer, Organization)
Rights and Usage Statement
Copyright restrictions may apply. User is responsible for all copyright compliance.
Extent
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
Poor The application is in two pieces. 30 x 21 centimeters
General
Title supplied by archivist.
Creator
- Jewish Consumptives' Relief Society (U.S.) (Producer, Organization)
Repository Details
Part of the Special Collections and Archives Repository