Application of Mary Gordon to JCRS, 1907 January 19
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.
- 1907 January 19
- Jewish Consumptives' Relief Society (U.S.) (Producer, Organization)
Rights and Usage Statement
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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
Poor The application is in two pieces. 30 x 21 centimeters
Title supplied by archivist.