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invoice for medical services

https://mhc.andornot.com/en/permalink/artifact15083
Dates
1953
Collection
Valerie Burgess Collection
Category
Archival Items
Classification
Archival, Items
Accession Number
009056005
Description
Rectangular cream paper invoice for medical services printed and written in black ink; name and address of the doctor's office providing the receipt in middle; reverse printed list of 9 pieces of information pertaining to payment information.
  2 images  
Accession Number
009056005
Collection
Valerie Burgess Collection
Category
Archival Items
Classification
Archival, Items
MeSH Heading
Hospitals
Records
Description
Rectangular cream paper invoice for medical services printed and written in black ink; name and address of the doctor's office providing the receipt in middle; reverse printed list of 9 pieces of information pertaining to payment information.
Number Of Parts
1
Provenance
Owned by the donor's stepmother, Mrs. Margery (Thompson) Quintel Brown; Margery Thompson's moher is Mrs. Asa Thompson.
Maker
Kingston General Hospital
Site Made (City)
Kingston
Site Made (State)
Ontario
Site Made (Country)
Canada
Dates
1953
Date Remarks
Printed on item
Material
paper: cream
ink: black, blue
Inscriptions
On the front: "Kingston, Ont., September 29 1953 // Mr. Armand Quintal, // Cataraqui, Ont. // Re Patient Mrs. Margery E, Quintal Account No. 9319 // To Kingston General Hospital Dr. // Admitted Sept. 13/53 Discharged Sept. 24/53 // Daily Room Service // 11 days @ $7.25 79.75 // Nursery Care, Baby // Clinical and Pathological Service 16.00 // Drugs and Medications 6.65 // Intravenous 8.65 // Operating or Obstetical Room Fee 22.00 // Anaesthetic Material 1.50 // X-Ray Examination 1.00 // Physiotherapy Treatment // Electrocardiogram or Electroencephalogram // Basal Metabolism Test // Blood Bank // Long Distance Telephone // Oxygen Therapy .60 // Occupational Therapy // Medical supplies .90 // Total 137.05 // Credit // Balance Due 137.05 // PLEASE RETURN THIS STATEMENT WITH REMITTANCE"; on the back: "PAYMENT INFORMATION // PLEASE RETAIN FOR INCOME TAX PURPOSES"
Permanent Location
Storage Room 2005
Length
21.6 cm
Width
13.9 cm
Depth
0.01 cm
Unit Of Measure
centimeters
Condition Remarks
Paper has been folded, leaving three horizonal creases
Copy Type
original
Images
Less detail
Dates
1956
Collection
Valerie Burgess Collection
Category
Archival Items
Classification
Archival, Items
Accession Number
009056006
Description
Rectangular cream paper payment receipt printed and written in black ink; name of the doctor's office providing the receipt can be found at the top.
  1 image  
Accession Number
009056006
Collection
Valerie Burgess Collection
Category
Archival Items
Classification
Archival, Items
MeSH Heading
Hospitals
Records
Description
Rectangular cream paper payment receipt printed and written in black ink; name of the doctor's office providing the receipt can be found at the top.
Number Of Parts
1
Provenance
Owned by the donor's stepmother, Mrs. Margery (Thompson) Quintel Brown; Margery Thompson's moher is Mrs. Asa Thompson.
Maker
Kingston General Hospital
Site Made (City)
Kingston
Site Made (State)
Ontario
Site Made (Country)
Canada
Dates
1956
Date Remarks
Printed on item
Material
paper: cream
ink: black, blue
Inscriptions
On the front: "KINGSTON GENERAL HOSPITAL // 15402 // KINGSTON, June 7 1956 // RECEIPT // RECEIVED from Mr Armand Quintal // Address Cataraqui, Ont. // The sum of sixteen xx/100 Dollars $ 16.00 // For hospital fees // Re Margery Quintal // Room // Acct. No. 5475 // A/c Rec. 8 // Cash // Cheque // Address same // (DO NOT WRITE IN ABOVE SPACE) KINGSTON GENERAL HOSPITAL // Per S. Story"
Permanent Location
Storage Room 2005
Length
8.9 cm
Width
18.7 cm
Depth
0.01 cm
Unit Of Measure
centimeters
Copy Type
original
Images
Less detail