Application of Harry Sukernick to JCRS, 1907 June 7
Application for admittance to JCRS filled out by hand for Harry Sukernick and dated June 7, 1907. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed H. Sukernick. 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. 499, Case No. 372, Application of, H. Sukernick, Address 1518 Boulevard, Denver, Colo., Received June 7 1907, Accepted June 13 1907, Rejected, Admitted August 25 1907, Readmitted, Discharged March 31 1908, Left, Died, Remarks: see remarks on 2nd application #224 as follows: 'application to be dropped. gets money from home, parents well fixed. he is the only son' add (circled) accept 6/13/07 died sept 1908 at Havenhill, Mass."
- 1907 June 7
- 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
Fair 31 x 22 centimeters
Title supplied by archivist
Inscription and Marks
Handwritten in black and red ink, on back page, at top of page: "third (underlined three times)."