Application of William Eremin to JCRS, 1907 June 14
Application for admittance to JCRS filled out by hand for William Eremin and dated June 14, 1907. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed William Eremin. 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. 507, Case No. 340, Application of, William Eremin, Address 2929 W. 16th Ave., Denver, Colorado, Received January (crossed out) June 14 1907, Accepted June 28 1907, Rejected, Admitted July 2 1907, Readmitted, Discharged August 20 1907, Left, Died, Remarks."
- 1907 June 14
- 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
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