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Dates
1958
Collection
Robert Chisnall Collection
Category
Archival Items
Classification
Archival, Items
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
Classification
Archival, Items
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