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Application from David Kammin to JCRS, 1907 May 31

 Item
Identifier: B002.01.0098.0123.00001

Overview

Application for admittance to JCRS filled out by hand for David Kammin and dated May 31, 1907. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed David Kammin. 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. 494, Case No. 332, Application of, David Kammin, Address 1541 Wellon St., Denver, Received May 31 1907, Accepted June 13 1907, Rejected, Admitted June 18 1907, Readmitted, Discharged December 4 1907, Left, Died, Remarks accept 6/13/07."

Dates

  • 1907 May 31

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

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