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Application of Sam Fisher to JCRS, 1907 February 19

 Item
Identifier: B002.01.0098.0071.00008

Overview

Application for admittance filled out by hand for Sam Fisher and dated February 19, 1907. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed in Yiddish. The back of the form has sections titled "Report of Medical Examiner," which is dated February 19, 1907, and contains details of his medical condition. The middle section of the back has " Application of Sam Fisher, Address 112 Columbia Ave, Passaic, NJ, Admitted February 19, 1907. Remarks: Emergency patient.

Dates

  • 1907 February 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

Fair 30 x 22 centimeters

General

Title supplied by archivist.

Repository Details

Part of the Special Collections and Archives Repository

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