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Application of Mary Gordon to JCRS, 1907 January 18

 Item
Identifier: B002.01.0098.0051.00012

Overview

Application for admittance filled out by hand for Mary Gordon and dated January 18, 1907. The front of the form is blank. 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, 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 18

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

Fair 30 x 21 centimeters

General

Title supplied by archivist.

Repository Details

Part of the Special Collections and Archives Repository

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