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.
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.
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 0010
0010-G Business Correspondence and Invoices Binder pg. 27 a
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