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Application of Gussie Leventhal to JCRS, 1907 July 24

 Item
Identifier: B002.01.0098.0154.00001

Overview

Application for admittance to JCRS filled out by hand for Gussie Leventhal and dated July 24, 1907. Information on the form includes her age, birth place, occupation, residence, marital status, nearest relatives, and signed Gussie Leventhal. 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. 545, Case No. 351, Application of, Gussie Leventhal, Address 1178 Stout St., Denver, Received July 24 1907, Accepted July 26 1907, Rejected, Admitted July 26 1907, Readmitted, Discharged August 26 1907, Left (arrow pointing to date under discharged), Died, remarks Emergency."

Dates

  • 1907 July 24

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

Inscription and Marks

Stamped in blue ink, at top of back page: "emergency."

Repository Details

Part of the Special Collections and Archives Repository

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Denver CO 80208
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