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Application of Max Burstiner to JCRS, 1907 June 27

Identifier: B002.01.0098.0136.00001


Application for admittance to JCRS filled out by hand for Max Burstiner and dated June 27, 1907. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed Max Burstiner. 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. 520, Case No. 352, Application of, Max Burstiner, Address 2929 W. 16th Ave., Denver, Received June 27, 1907, Accepted July 23 1907, Rejected, Admitted July 26 1907, Readmitted, Discharged Steptember 1, 1907, Left (arrow pointing at date under discharge), Died, Remarks."


  • 1907 June 27


Rights and Usage Statement

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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

Repository Details

Part of the Special Collections and Archives Repository

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