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.
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.
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 0010
0010-G Business Correspondence and Invoices Binder pg. 28 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