Application of Gussie Leventhal to JCRS, 1907 July 24
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."
- 1907 July 24
- Jewish Consumptives' Relief Society (U.S.) (Producer, Organization)
Rights and Usage Statement
Copyright restrictions may apply. User is responsible for all copyright compliance.
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
Stamped in blue ink, at top of back page: "emergency."