Subject Source: Art & Architecture ThesaurusScope Note: Forms used by persons requesting assistance, authorization, employment, admission, or other action.
Found in 2 Collections and/or Records:
Overview Application form of Jacob Lefkowitz for admission as a patient to the Jewish Consumptives' Relief Society. He was age 39 at the time of the application. He was born in Hungary and immigrated to the United States in 1894. He lived in New York City when he contracted tuberculosis. He had been sick for 2years upon arrival to Denver, Colorado. He was married and had two children. He also worked as a tailor. He was also a member of the Sons of Israel Lodge #9. The verso of the application states he...
Overview Application for admittance to JCRS filled out by hand in ink for Jacob Lefkowitz. Information on the form includes his age, place of birth, occupation, residence, marital status, children's ages, membership to beneficial societies or lodges, nearest relatives, and is signed by Jacob Lefkowitz. At the bottom of the front page is a section entitled "Recommendations," which is left blank. The back of the form has section entitled "Report of Medical Examiner," which states the exam took place on...