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Application of Joseph Levine to JCRS, 1907 June 4

 Item
Identifier: B002.01.0098.0109.00001

Overview

Application for admittance to JCRS filled out by hand for Joseph Levine and dated June 4, 1907. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed Joseph Levine. The back of the form has sections titled "Report of Medical Examiner" has [illegible] note and "Admission and Dismission Committee," is blank. The middle section of the back is a form filled out by hand. It reads, "Application No. 471, Case No. 327, Application of, Joseph Levine, Received, Accepted, Rejected, Admitted June 4 1907, Readmitted, Discharged, Left, Died, Remarks Emergency."

Dates

  • 1907 June 4

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 31 x 22 centimeters

General

Title supplied by archivist

Repository Details

Part of the Special Collections and Archives Repository

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