Application of Joseph Levin to JCRS, 1907 May 10
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."
- 1907 May 10
- Jewish Consumptives' Relief Society (U.S.) (Producer, Organization)
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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
Good Large hole at bottom of page. 31 x 22 centimeters
Title supplied by archivist