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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

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.

Repository Details

Part of the Special Collections and Archives Repository

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