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Application of Joseph Levin to JCRS, 1907 May 10

 Item
Identifier: B002.01.0098.0109.00002

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" and "Admission and Dismission Committee," are blank. The middle section of the back is a form filled out by hand. It reads, "Application No. 471, Case No., Application of, Joseph Levine, Address 2929 W. 16th Ave, Denver, Colorado, Received May 10 1907, Accepted June 3 1907, Rejected, Admitted June 4 1907, Readmitted, Discharged, Left, Died July 19 1907, Remarks Emergency Buried in Mount Nebo Cemetery 7/19/07 Section 25 Lot 54."

Dates

  • 1907 May 10

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

Good Large hole at bottom of page. 31 x 22 centimeters

General

Title supplied by archivist

Repository Details

Part of the Special Collections and Archives Repository

Contact:
2150 East Evans Avenue
Denver CO 80208
(303) 871-3428