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medical services invoice

https://mhc.andornot.com/en/permalink/artifact15060
Dates
1958
Collection
Robert Chisnall Collection
Category
Archival Items
Surgery
Patient Record
Business
Accounts
Accounts Payable and Receivable
Ephemera
Communication
Classification
Archival Items
Surgery
Patient Record
Business
Accounts
Accounts Payable and Receivable
Ephemera
Communication
Accession Number
017027001
Description
Small cream coloured quarter sheet of paper invoice produced by Dr. Thomas F. Rutherford for Mr. Chisnall; the top half of the invoice contains Dr. Rutherford's name, his office telephone number and location, and the date in which the invoice was made; the top half also details who the invoice is m…
  1 image  
Accession Number
017027001
Collection
Robert Chisnall Collection
Category
Archival Items
Surgery
Patient Record
Business
Accounts
Accounts Payable and Receivable
Ephemera
Communication
Classification
Archival Items
Surgery
Patient Record
Business
Accounts
Accounts Payable and Receivable
Ephemera
Communication
MeSH Heading
Accounts Payable and Receivable
Surgery
Description
Small cream coloured quarter sheet of paper invoice produced by Dr. Thomas F. Rutherford for Mr. Chisnall; the top half of the invoice contains Dr. Rutherford's name, his office telephone number and location, and the date in which the invoice was made; the top half also details who the invoice is made for; the bottom half is initially a blank space that Dr. Rutherford uses to fill out additional information, in green pen, including the cost of the procedure.
Number Of Parts
1
Provenance
Owned by the donor, Robert Chisnall.
Site Made (City)
Kingston
Site Made (State)
Ontario
Site Made (Country)
Canada
Dates
1958
Date Remarks
Printed on item
Material
paper: cream
ink: black, green
Inscriptions
On the front: "TELEPHONE LI 8-8522 // 277 KING ST., E. // KINGSTON, ONT. Apr. 18 1958 // Mr JJ Chisnall // 12 Stephen St. City // IN ACCOUNT WITH // Dr. Thomas F. Rutherford // HOURS . . . // 11 - 12 A.M. // 2 - 5 P.M. // TO PROFESSIONAL SERVICES // For Master Robert. // Tonsillectomy + Adenoidectomy // Apr 18/58 By cheque from B. Cross // $35 // $25 // $10 // Balance due // Apr 30/58 // By cash $10 // Rec'd Payment // much thanks // Dr T. F. Rutherford // per KM"
Permanent Location
Storage Room 2005
2005-5-6 Binder C pg 13 a
Length
13.7 cm
Width
15.2 cm
Depth
0.01 cm
Unit Of Measure
centimeters
Condition Remarks
Two fold marks and is slightly warped
Copy Type
original
Images
Less detail

medical services invoice

https://mhc.andornot.com/en/permalink/artifact15061
Dates
1962
Collection
Robert Chisnall Collection
Category
Archival Items
Surgery
Patient Record
Business
Accounts
Accounts Payable and Receivable
Ephemera
Communication
Classification
Archival Items
Surgery
Patient Record
Business
Accounts
Accounts Payable and Receivable
Ephemera
Communication
Accession Number
017027002
Description
Small cream coloured half sheet of paper invoice produced by Dr. Thomas F. Rutherford for Mr. Chisnall; the top half of the invoice contains Dr. Rutherford's name, his office telephone number and location, and the date in which the invoice was made; the top half also details who the invoice is made…
  1 image  
Accession Number
017027002
Collection
Robert Chisnall Collection
Category
Archival Items
Surgery
Patient Record
Business
Accounts
Accounts Payable and Receivable
Ephemera
Communication
Classification
Archival Items
Surgery
Patient Record
Business
Accounts
Accounts Payable and Receivable
Ephemera
Communication
MeSH Heading
Accounts Payable and Receivable
Description
Small cream coloured half sheet of paper invoice produced by Dr. Thomas F. Rutherford for Mr. Chisnall; the top half of the invoice contains Dr. Rutherford's name, his office telephone number and location, and the date in which the invoice was made; the top half also details who the invoice is made for; the bottom half is initially a blank space that Dr. Rutherford uses to fill out additional information, in green pen, including the cost of services.
Number Of Parts
1
Provenance
Owned by the donor, Robert Chisnall.
Site Made (City)
Kingston
Site Made (State)
Ontario
Site Made (Country)
Canada
Dates
1962
Date Remarks
Printed on item
Material
paper: cream
ink: black, green
Inscriptions
On the front: "TELEPHONE LI 8-8522 // 277 KING ST., E. // KINGSTON, ONT. Sept. 15 1962 // Mr John Chisnall // 12 Stephen St. City // IN ACCOUNT WITH // Dr. Thomas F. Rutherford // HOURS . . . // 11 - 12 A.M. // 2 - 5 P.M. // TO PROFESSIONAL SERVICES // $7 // Recd Payment // much thanks // Dr. T. F. Rutherford // per KM"
Permanent Location
Storage Room 2005
2005-5-6 Binder C pg 13 b
Length
13.7 cm
Width
15.2 cm
Depth
0.01 cm
Unit Of Measure
centimeters
Condition Remarks
Several fold marks
Copy Type
original
Images
Less detail
Dates
1958
Collection
Robert Chisnall Collection
Category
Archival Items
Accounts
Hospital Administration
Ephemera
Classification
Archival Items
Accounts Payable and Receivable
Hospital Administration
Ephemera
Accession Number
017027003
Description
Small cream coloured cheque receipt to Robert Chrisnall for $25.00 from Blue Cross Plan issued on April 28, 1958; the patient's name, the doctor's account name, contract number, and cheque number are printed in ink, but the doctor's signature and date of signature is hand written in blue ink.
  1 image  
Accession Number
017027003
Collection
Robert Chisnall Collection
Category
Archival Items
Accounts
Hospital Administration
Ephemera
Classification
Archival Items
Accounts Payable and Receivable
Hospital Administration
Ephemera
MeSH Heading
Accounts Payable and Receivable
Description
Small cream coloured cheque receipt to Robert Chrisnall for $25.00 from Blue Cross Plan issued on April 28, 1958; the patient's name, the doctor's account name, contract number, and cheque number are printed in ink, but the doctor's signature and date of signature is hand written in blue ink.
Number Of Parts
1
Provenance
Owned by the donor, Robert Chisnall.
Maker
Ontario Hospital Association
Site Made (City)
Toronto
Site Made (State)
Ontario
Site Made (Country)
Canada
Dates
1958
Date Remarks
Printed on item
Material
paper: tan
ink: blue, red
Inscriptions
On the front: "ONTARIO HOSPITAL ASSOCIATION // BLUE CROSS PLAN FOR HOSPITAL CARE // TORONTO 7, ONT. // CHEQUE NO. // 06871 // PATIENT'S NAME // Robert Chrisnall // CONTRACT NO. // 91681905 // PATIENT: RETAIN THIS RECEIPT // TO BE USED WHEN REPORTING MEDICAL EXPENSES ON YOUR INCOME TAX RETURN // IN ACCOUNT WITH // Dr. T. F. Rutherford // 277 King Street East // KINGSTON, Ontario // RECEIVED $*25.00 // Dr. T F Rutherford // per km // DOCTOR'S SIGNATURE // DATE Apr 18/58 // THE AMOUNT INDICATED ABOVE IS BLUE CROSS // ALLOWANCE FOR PROFESSIONAL SERVICES. // BALANCE, IF ANY, IS PAYABLE DIRECTLY TO // DOCTOR BY PATIENT. // DOCTOR: PLEASE RECEIPT AND FORWARD TO PATIENT."
Permanent Location
Storage Room 2005
2005-5-6 Binder C pg 13 a
Length
9.0 cm
Width
19.0 cm
Depth
0.01 cm
Unit Of Measure
centimeters
Condition Remarks
Bottom-right corner minor bend; folded in half; slightly warped throughout
Copy Type
original
Images
Less detail