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 Duplicate application for admittance to JCRS. Front of form is blank. Back of form is blank except for middle section which is filled out by hand in ink. It reads "Application No. 838 Case No. 590, Application of, Samuel Rappaport, Received July 10, 1908, Admitted Aug 12, 1908, Died Dec 1, 1909."
Overview Application for admittance to JCRS filled out by hand in ink for Samuel Rappaport. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Samuel Rappaport. On the bottom of the page, under "Recommendation," are two names and addresses. Joe Leopold, 1135 Decatur St., and S. Joben, 16 East 20th Ave. The back of the form has section entitled "Report of Medical Examiner," which dated July 10. Report states that...