xt7kh12v6014_426 https://exploreuk.uky.edu/dips/xt7kh12v6014/data/mets.xml https://exploreuk.uky.edu/dips/xt7kh12v6014/data/2008ms006.dao.xml Benham Coal Mines. (Benham, Ky.) 151.0 Cubic feet 302 Boxes The Benham Coal Company records (151 cubic feet, 302 Boxes; dated 1911-1973) focus primarily on the early years of Benham Coal through the 1940s, including office files, Employee Benefits Association records, files on accidents and safety, and photographs. archival material English University of Kentucky This digital resource may be freely searched and displayed.  Permission must be received for subsequent distribution in print or electronically.  Physical rights are retained by the owning repository.  Copyright is retained in accordance with U. S. copyright laws.  For information about permissions to reproduce or publish, contact the Special Collections Research Center. Benham Coal Company Records African American coal miners--Kentucky--Harlan County Coal miners--Kentucky--Harlan County Coal mines and mining--Appalachian Region Coal mines and mining--Appalachian Region--History. Coal mines and mining--Kentucky--Benham--History Company towns--Kentucky--Benham 1944-1945 text 1944-1945 2015 https://exploreuk.uky.edu/dips/xt7kh12v6014/data/2008ms006/2008ms006_36/2008ms006_36_16/41333/41333.pdf 1944-1945 1945 1944-1945 section false xt7kh12v6014_426 xt7kh12v6014 "‘°*F¤""43‘   INTE|iNATIONAL HARVESTER COMPANY
HARVESTER BUILDING, CHICAGO, ILL.
Invuicc Nn.T_._____
Snld in §iL..-..·--—-—
_ I I
Equi;g_i;;im _______.. 5
. P- i
Li.z.1i;_;;A P0‘:mg__ _ _ g   ·_;]
;mGg._ __m_______._.____L  
,. ] z
NC 1:3 3 ____ _____  
. . a P { L - E
jjrgvg si cms -_. .- -..-..-...,l..»¤~..-—-j—-——· -   ? ,
i
-__»_   ._   2   _ i
J;i‘ggJ· _]O1" umd Ci&0LS -   ‘ ‘
Tmal L;-zpa     -. .....5   ri.? li
1.5.33. Li;;evns©__ ri L.   X __
Bid. 4; Room — ¤1’:ipl©y@¤L --   ‘ ‘{ =    
" Outside -- .......1   » *~ ...1..-
L . I ;_ N
Opei~;z.i,im,g Rc>0m__ . . * ·
x»—H¢§r Q.; L»=Lis<:l.. ’ V     i1
I I
Tc¤;¤2»»L Credits   L I  
Profit cr LOSS * ¢~   ? I

 wm M 431   INTgNAT|ONAL HARVESTER CO“PANY
HARVESTER Bumumc, CRrcAuz1tz [mm Cuul mines wgykg
  Bldg., bgg, pj. mj
C“?·“‘°* »’· 1*1* Your Order Nu. .._...
Terms_ ___Exi. Tki.__;___ Shipped Via__;_______Car N0.__;.i._
_— C1ea;·Qs’s .5:,;l.;1‘y   1.57 O9
E i   $407 EL
ii____i___
___ _;_“.__._@___.,._”_iie_E__ ;!g._}}__
I?
  . li  
”’ “ lT"”*"`i”ii`"_`”_
ii .
ia  

 H G S P I T A L
1~.i0m*©h Season
·»   q __ - A I I · ,I K
L;L6;;I¤<;é,;] gI3f»,gl QQ __ I   I'; /~ p Q_
I
E;émb· ID©p1·c @1211; icm __ I ___ `
. I ,
LQUILGLQL !·· ¢<— 5 0 L-I    
22 I 611'V.] pg;     '7 STA - G.?   I    .; ’ ·- T
- . ,, . I 3 _. _I I MI .» ,I
k§@QE1lZ'S>__\g, 1.;:;] 11‘6§-gmg ¤ {:5 I   ¤’ 5 I .......P-I ·‘ ->
Equ ggg; ui; I
I
Ligglb   J?O`f?€§______ t I   I ...*_;...’-;;
I
-- VW! — I'! . · ·”
_Ij`ug]_   [Q . I »~I V /, ,· ;,
[K I if { I _ , / _,
 _,A__.._.__,____...._-__......I..__.._.._..1..:.".;.’r·Li ‘ - J
Pvgvi sglggg __" V _ Q`} I' Ifv   I I- i I  
‘ { I
E1·r»*J. _j"01· `md dgsbts I Q_ C¤<»   , ` ‘   ~.
_ ¢,_ I I/I LI Ag {Y O ` F 2   ’
Touejl Mlpe msc I _ · I- — I · . —·`
I   ;;;;;rx,:zs©___ I if LI ’I ·=     I      
Excl. 5:. Roan — »myQI.©y@a ..- --   I     I-Y <> “ ·· ”   ·`
—, ~, .~ I `W  ·>·EIrc
' ULIIDSMIC   ‘ ' 9 .....1.-—-“ `
L , - I I . I 2 P I Y
Op©I‘;zI,IL;4g B.00m__ I I I   I · i *·
I
iii-"R'j~;_\,T E3   • _· !  Lg "i J)   {_ LJ   _`,}·
`-_ ‘ ·_1•i_ 1-  I
W _- N . I‘/Z2   ,`¤/iz r"
’_I‘cI;;¤_ amezdmzs .............. I I >   w f ~’ ¤ »
. I
..  I ¢nI i·  
Profmi or Loss I /’·f#I — =··I ~ ~  ·

 MEDICAL ATTEIHDANCE
This
Month Season
bill medical Sumclies li       q rg   li
oO?} Rent (DBprecj.:?,tio11) I
` " · ~ ::~ ,   ·; L,
oO.; Laundry 1 OC-_.__,. ,_ L LL
604 Salaries ,— if  ‘  j L; i ·  
Boctors L 4. L,   L g , ~ J
Nurses ,L q , ,,     " f ‘ 
Oi: hor ; LL r ‘ C ~ {Z
505 Poctorsd Cars 1 ; Ln L YL Y v·-. \
BOB Repairs amd lmizxteznexrlc o _. CL     Y · LQ L;
BO'? Miscellaneous Sumlios   * ‘, f V »   —
@8 Light and fowcr ‘jr , —A ·· ~/ » » ·.
609 Fuel   C L. C L j C,   _»
  vvJ&t€I` ‘ ~_ . ;`   »L. \ YL
x ’ . · W. ' · V
fill Trsrvoling Expense
Total Expense » 5 Q ’2jx\ TA »L<
{ . z " I - ./ \
Payroll Collections \/47; .`   7 S   n L:.
BBA Imclicnl Servl cc { , , L;   _ F,   A
Hospiml Crerclits L  g L;  jj 2 L  T
Total Credits `l/Qu   >· : L`/ii? ·‘/A ' {Y
Loss to Gcmtingont Fund Bzapomsez

 wm    INERNATIONAL HAr=rvr-:s·r·.-:R CWPANY
Hrmvzzsrrzrz BUILDING, CHICAGO, ILL.
Invoice No ___
som to Sri;·vi<:e   Account: Fmm Coal legzoazs wmks
H5I.1‘V··Sic>I‘ Elalig., ¤T£1Z1• L5]., E12
C“·”“ `°·   Your Order No. I
Terms___;ExI. Tki.___,_;__ Shipped Via._L___L;;Car No.%__i;
  §e;e>       ‘;.   ‘   W   (X
Equiigment
Liam   Power Ti oe  
gggl We * => `\\ L 1 Yf
Nate; __ U i E é; W"/A  
gqipvj sions  5         `>/if  ii
I , 1
Eroy. jfoi; bald debts 5  ~» E   ' · ·°  
11
Toolzel Expe ms e_ ` 0 E I/V xi we {Y; " g I-> if
I.A.D. Expense XW Nei 0 W 3  ja?
Brd.   Room - ;mp1.oyes._. 3 I`  *` ?> ·`    
1* Outside     ·"" 'Y LIT ’°
Operet ing Room \ g` o s  I " T s'
;i—Rey I3; 1—»iisol. .   · K" ?~ g. `Fs   , f  
 
_
Tewi creams Nw    `Q ( ’'I’ Rl
Profit or Loss `/Q \.*`/  

 ‘”°““°‘“‘4"· *···*··   INTERNATIONAL HARVESTER C0rvrr=ANY
· HARVESTER BUILDING, CHICAGO, ILL,
Invoice No.___.____.
Sold in $9I‘ViCG Char vga Account Fmm Uma]. $*11183 works
Harvassisaxr Bldg., FUb’ i5' 1945 I9_..
C¤i¤<=¤¤.I;,l· Your Order No._._. __
Terms_____Exi. Tkt.___A_,4____ Shipped ViaT_______._Car Nu.._,...i.#
 
II I
I I   Biiéiliccnl é3r22·vic;¤   I   @2354) Igg
I I   ra1·1·:'ss —$ar}.er;-Y _ ____ pA_ _   _   141% 57
I I I I eoez sv
I     II
*;__I__rI___________?E}Er___h__E_IIEE_E___   _____
E___.—_ EE W._m__...._.._.,E.Eo_,__EII,__E  
I I  
I I I
I I4____iI___II_______ 
·······——·——·—·“—·—···Eo··o*······II+—EIo ·II——“——·
...;.._I....I II».___I_.IIA_i____

 MEDICAL A'l“l'K QDANCE
Thlii
Month Beeson
o0l Medical Supplies Y i ll 0 to ' `— 3* /1 ·  
o02 Rent (Dgprecieti on)
00Z Laundry [ C Ai  ” ,0    
604 Selnries * fa   V ” * T /0
Boctors »   ~ U   `!’ 7   ’
Nurses Q . "   ‘ *·   W;
Other ·’ ». ·· ` n -  
605 Poctors’ Oscars {   ‘/" ‘ { ’
606 Relfiirs and Lzmintemrnce   ~ ' C n 4  
607 miscellaneous Sutplies ~ T   ~ ‘
608 Light and fewer iT' "   “ `C I
sos Fuel '   “ 1     i
610 Waiter I it Q`, ' F   "  
ell Traveling Expense
Total Expense Ci   Y   Q * V C
Payroll Collections  2 Y *0 A Yj‘l’ l ?
BBA Mgdicnl Service » L i` " ` C I IC  
Hospitul Credits Q   ‘ Que V .e " ·'·
. _· _/ , ` \ X { IJ: V 4
Total Credits ____;_*" "’ * e ~ -
Loss to Contingent Fund Expense A

 ;—L_O S P I T A L
Lionth Seeson
LWSJ W qrll  ”\1rJ-1   Q 5 V • ` E Lg •   T    
  g‘r,_( )epI·eoia1‘cjon __ _ ·
Leumdgg; . ... . ff QU   ’ —      
Q? ¥ ·F2`r*·`l as J 9* f     T: * ff A ;· '”  
·   K if {/.
    l»;.&j;@T;§=;1&o* me _ ~E Q 0   -s __; J
Equ   mz ____,___;.__.._
L1,;L1‘t; Q; Power E ’5~     1 ? rg   FA
~i;;c,@;;._..._.. -W-o-_._ Q - <2> “»  
PT" \/I. C;. ; ,4* Q '   ··’   `   y   `ixi
s ‘ . ‘
e o g ¤ ` . Y
Eyoy. for bed debts M   ·*°  ‘·|   so    
Touel Expe :1se,._..._.....—      T KV —/2 A1 f sw
v . *\ —— I ‘r` ¥ 'P ·- `\ /
;.,»;.1J. mqcense “ o=   J 7 J  
Brd.   Room — ;im;;1.oyes._._-.. ZN in ¤   "_7’Z»`:3
. ,\ _ _ _   ' j ‘   = ,\‘ , ;
·’.. omzslqe .._.........   " · ’(i   L  
4.- I ' ·’ :x ’/ A .
Opexwmmg Room_ , _ Q Mm, . V ;  
A—Ray Q.; iuieol. i { *‘ n_ gn 'Q Q n_ ix
*~·—---—-—-·· __,_
,' F/,~ r F `/ \ · ·("`
Tetealo Credits   —` “‘ `> ** ~  `s
Profit ox- Loss - T   o`s ii fy.1-»~[,

 W°"“F°im    ·‘‘···   |r~rrr=;nNA1·r0r~rAr. HARVESTER CWPANY
· HARVESTER BUILDING, CHICAGO, ILL.
Invoice Nn.______...
Snld   Fr0m..._.1..1m¤  <>¤   Wurks
Ha1rv»:’—;‘c·.·x· FSLEI4;. , March ol, 19 4g
... ._ Ch-iw ‘¤. Ill- Ynur Order N0.
I Terms__m_..Ext. Tkt._v§~__4_ Shipped Via___e?___,Car N0.______
 
I ' II I I
_ I  Cul Eizzziwicfza   5 ¢;·j;5O OO
` I ` II_—é—~ ”—iI -*4
    CL¤zrkI‘s Lwzieragy     __   Ii 130 16
I I II I I paso l6
I I I_!I’“Ii—
WW `E`*_G?*””“—*”G EE`" 'IVI ?“—II_-VWAAI  
I I I  
’?”’I`Ir“—i%‘*—""—*‘—*"*—II””**: r—I —I
 ____,__I ____ __II________I ____g*;________‘
II I ;;
I I I I >
______I___I________________p_____I  I
  I1 __—___
I, [I
.._...—..I  I  

 IJEICAL ATTHJIMNCE
This
Liomzh Season
_ _// _ /
bill Iuodirgeal Sumylies \ Y/4 L ‘("/     > 0 0 g
002 Rmlt (D€;p1·cc:istion)
005 Laund ry     L Qi ¤ :0 Q
604 Salaries i Q7 SQ? $5 Q   51 
E°°»’$°l`S 0 S}; 0 5 7     ZA  
IJuI‘s=os g g gjf Q  K E 
, l r—» ; , /- V. , ·
Otuer j L 5 lc l > I g __
605 Powers' Cars J S ix .’ J 0    
506 Repairs; amd LJ-Eij.E'l`t]€Il€illC 2   ff) .·
607 Misceallanoo us Sugigylics V   ’-{*1 Q E T i~ V;
008 Light and fowor   5   ° to *45 yl
609 Fuel 7 LE;   }}‘  2 1
610 l[Qdb€'}I` `/Y (QC I   L, ¥_l
dll Traveling Expense   .2;;/ _   Q j’ 5
·¤ " E » ( ` ,-~ n · ·.
Total Lxponse j _; V O3 2 l Ta l '_  
Payroll Collecti ons V plc we Q`;.   i` v
*1 ! ·· · " r" V * K V`,
LBA Llgdlcaxl SEIW/`]_C(·3 I. mgcc K o>@LV
- . ,   ln,. .··.C,/A
rlosplml G1"e.dUJs 3 »L>§`j_;/ L. ' Ng ~>§
_ w _€ / A ../ {.
Total Curadms L7 5%*.5 \; #¤° O 5;
Loss to C()Ill]l1l{§€l'1JG Fund Rrzpamoo

 I I
H O S P I T   L
  ___”_ Ssss0n__A
I.’Q§·;§`4‘ Qi;} l §g‘,1`y) _'¢S ____¤ ` ·     §’ I;)  
  §Ds01·00ia1t 10;; _______________V_ir_____
Lsumdgg; _ P fl Q U   W      
Hsiwi     ° ....._ I ·" O E  
Equ j  ut __g___...
Lignt 0¤_§0*.‘.*s;· _ I   ni 1 >$’J<<>¤
  .- M · __ ¤¤*» ¢i5_ xi ai
  4__________   ’       
B.;<2.m.s;L0;1.s._,_-*0..__...._,..I:,_..;}_;_k.I_7 DV ¤ ...\  
Eygy. j"0r bsd dsbts g   yiifncvmi ii  "
F._.......-....~-.._....____*_..
T0tal Ezzps mss    O U II;. ‘, T  
I ..%.13. i;1;;2sus0__ its   - "T: E? (TL 5,  
Brd . sg R0 0m — ;smpl0yss; ..-......_ § `” — `M   I f U O
" Outside 5 .2   cv c; \C`/".[L`;
Opsrat Img R0 0m     :2       J 0
A-say;   ;»11;:<>1.. I ’· w_ 3;/ \ z ig  
__p__
Tctstl Credits  ———‘;‘—L/L Jlii S   Fb`1
P1"0f1t 01· L0ss _____________ V I/ X    *"= \. wi

 Wm    ····   rmznnovrouor. HARVESTER compmw
I HARvr:s·rER Burr.¤rNc;, Cr—rrcAG0, 11.1;.
Invoice No..__..._.
Sgld in 591*/106 Ur1;1‘;‘qe2 Account, [mm Goal mixes wgrkg
Hrevvo Sr;   ___ Avril 56. 19 
°hi"““"• UL Your Order No.
Terms____;;Ext.Tkt._rro rrr oW_____ shipped via_ __t2ar No.___._;._
  iaciicarl liezxwi c; *_N   y     2.50 !  
._;_? r-*-   _—_..,...»--_` -_-~.__1,;_»`-      
_____o!_sm%“__r o_o o_____e___!%s;__)__
I        
 
.**;;___rr________2¥ gi __
i~ l'
  __
.____I_ro__o_~;__%_ ____;__?Q,____1%U___ ____

 /-_· ` _, , .//r
EL Q S   T A L ( V/. /;V’=_,_ ,·~`4_ [   -4 ,_
` K
,i—.i0nth Sc :¤ $0 n
I
L‘.Q»T4r~.;»l "‘¤l»_)-I     I  
I
R32; §D@pI·cc1a;rc ion ___ I ___
’* I I ·( ‘ ··x /
L A ;·_C>
. . I I
Eq U.   LIU   ___
—. I 7
L1;;;1 l: ;;_.§0*.L>;5\c>I
I
" `\ lj, `
@@.1; -._......_...............- .¤L —--2-—’“ >iI——-————l LII
., I I { , »
VIC.  ___ ___Y __I_ IJ ~ G _S·__ I U w) Z;
I ,
~ — -¤ -»·   (/•   I \ ')`
Pygv. _j’©x· md alarms __ [ ,> 0- ’ — \ Lx aa z;
I .
W-· I ’ ` I I   1 5 {
Tamil jgxpams 0 I H/.-I £I...Lg.-b.*| U LI I 5-*
W · *w ~,_ (   ’°) ‘ 2 { I I f , ,='
;..A..¤. m;;:c11S¤.—;____ ' AI -»,»c> ~\`&,. IQ
Bri.   R0 um — 4:1;;].0;/*@¤.~ -   I 2 i>~¤¤ M7/7/D~ TO
.» /, ’
, A _ _ ~ _ *,'¢ , x ·"
·* Uutssmc - .._..._..... A I I· ~> —-7’ ....I.¤L_w I 50
Op©1‘>.¤.t.L11g R0<>m___ _ = Q   ·c>¤ I SU ’\   AA
xwxw  QQ gwuzsczl, . __ · I Ox/_ Q, Q \\/)\ S?
 
· /
- , , , . W I · 2 ‘ "
·;‘cw,L C»1*©d1ts _ / ·)¤·I“O   ··  
· I
. ` K'? '
Prcfzt OT Loss   I I I.» I; J BI

 MEDICAL A; LIZIIDAIKCE
This
Month Season
001 Medicaxl Supplies \ ` ¥— J`,  ·~   " J;}
¤O2 Rem; (Depreciation)
605 Leundnvy L; ,e f i   x ;i y
604 Salaries  ¢ W   c V  
Bowers I, e ` g. , .1:
Nurses e Q ,e _e A e Y. j 
Other l. · T . : `
605 P0c“u01·s’ Cars "fj  }_ .,1  ·
BOS Repairs and Leiutenenc e   e g —   e  
BO'? Miscelleneous Sugvjzlies   `'"` >    
60S lqght and fewer _ _ ,; V   ; l
609 Fuel Q   ; y »   ji 
610 Lfetenr     ·e 7 L,
@11 Tmve1j.ng, Expense , A   "
»_/{_ ’~ ·~—_ ; ,`. J V ‘ ;_ x »» 1. *_·- - _'·`·—_./ · .» ' `
  Izxpgxlgg   ~I_/ . j, > w »Ir··»l pf;   .l L;
Palyrcll, Collecipi OILS ·· · -- ~ ' Q ,. V- — -
BBA Mydnzel. Sezivice _ ` , . _   ,/ 
Hospitel Cfeéliils   if .» ·· -   _ <
·’•-’1*”*""*"'*   
Tote-.1 Credits [jjj V   A »   B
Loss to Cozxtimggem Fund Expem e
 

   Ofks   ··»····   INTERNATIONAL r—rAr=ivzsTr»:n COMPANY
·4 HARVESTER BUILDING, CHICAGO, IQ
Invoice No._..;_.
serum  <¤e ~>     III From I,o¤;_r;;;I¤¤I_II__w¤ris
  v ··=’: -;Ig»iIlIII·I; IIII IIII   I I III JI¤¤.» —I2I,IIj-Qi-·i?* 19__
    III IIIII  IIII(_ Your Order N0·_1 —........~
Terms_IIIIIIII_____ExI. Tkt.III III Shipped ViaII II_-III?.Car N0.II-II-II_.T
I :,;.Ijq£.·I;’¤s   xg, H   I  
      I   IIII I    
"”`”`””I I       iiii   iiii   I   I iiii     ii `"””““Iiii  
  I opooooo. II__II` Iooeoo       IIIIIIAI IIIII 
IIWIIII oooo I Iroo II  I I     I IIII-_iII_+IIT
  I I II   II I   I I    II_IIIIII_+II I I I
I   I I
I I eq   IIIII   III III I`I—%I_“

 1;; 0 s P I T A gi 79+15
Month _ Sssson __
· » §•__ I I
I,g@_¤4 qa] ¤;-.1)-Zlj C S t `;_, ...~ I ·   ;·_ LI  
I
, . [ . I . · I
:3 nt D@1>roo1st;onI __ __  
Lsundggi _   . ¤ CK QZ; o ”  
Y0 i.‘···i ,;:0     .‘ "     V r—» V ICT
- . ,    I »/·  
I1sp&1;"st__sz   nt¤=3_ggg;@__,_ I  
Bw QEQE mi  
T. . . I · I I _o I VI
L1: at Q PWG;  
I
};¤uGJ·< _~ l n   ·; ··~ · )`/ »..  
IIGUGF .* who -!,   ° E     if I
Poe-ovj si ons Mm __   — I  I I ;.   · ¤·
I
Etoy;. for bsd Qsbts I I T   I » I,    
I
Total Expo mo I ` V   ’ IT I ’ ‘ 5 J.  `
1   1i;1;gnnoss_w A U     `>·‘ " 1  s. __
I I tp/,__  
BTG. 4;. Room — ogulglooyss _ __ » . I--I.   . ,§s- U
" Outside TI ‘       :·*·
I
I 1 /
Ops1·;fc,I.1Ig Room _ ‘ L   ··   : F. ~ /»
A—¤c}J og Iusol. = _ I i_ _ » I V   7,/I _
____I_ l Q
Total. Credits ........._... I   II ....o.‘   I  I
Profit or Loss 

 Y
in {VV. Q I :`
mw ICAL Arwllumrcm · ·“· Y-·*-F
This
lionth Season
00l medical Sxumlios  LY * Qi/A   ’ /· ’6  
* - ‘ ‘ \
ooéj Rom; (Dgprociation)
005 laund ry   B Q { { * j ;,g 4-5
604 Salwrios   Lh;20 {if _Q gl?  
Doctors _;  L,     ; ~. ?”
Nurses;     ¤    ; if "//j
Other ‘/· ~ —       ~ »_ =_
605 Doctors' Cars /_QQ.-4   — " UF?
606 Repairs and ].*.£ill’lT}€·3l’lé,1IlC o F0 0 J ’ 0,, Y,   ;; ’ 1
607 Lxiscollzeneous Suzylios Z ‘ `il L C   W
L308 Light and lower ,> 1  y   ",’
@09 mel   _0}‘ r g ’ V; 
  ·vJYQJC€iI` YW   ‘_‘,/ i  
xjll Traveling Exponsso   ; ;-  
 //.I  ‘- ·    _‘ _ __ _ `;;.i·i¢—·
Total Ylzzpomso c A r   j,»· 5 '·   ‘
Payroll Collocti ons ‘ ‘— · · r [   y ~
EEA l·.;Cdi<:zll Service   -   rl ;_ —\ -
Hospltall Creoélits " _ ~ ·,_  4 Q ’> fg
Tote;]. Credits   _A \,r` Y   2 fo.  
Loss to Ccmtlmgomt Fund Ezcpomo

 B E N H A M H O S P I T A L  
Benham, Kentucky.
RECORD OF ADMISSION AND DISCHARGE FROM HOSPITAL
NAME _ DATE OF BIRTH
ADDRESS MALE FEMALE WHITE COLORED
(Check A House No. of Employe)
MARRIED SINGLE DIVORCED
EMERGENCY NOTIFICATION: I. A. D. PVT.EMPLOYE OUTSIDE
NAME FIRST ADMISSION? YES NO
ADDRESS ADMISSION AUTHORIZED BY:
DR.
DATE OF ADMISSION PATIENT RECEIVED BY:
HOUR OF ADMISSION A. P.j£L lRH§Hh___
BILLING OF CHARGES: CASH? TO PAT'T. VALUABLES. LIST & SHOW DISPOSITION
’TO:_______________________________________________________________________
ADDRESS:
RELATIONSHIP TO PATIENT
DATE OF DISCHARGE: DISCHARGE AUTHORIZED BY:
HOUR OF DISCHARGE: DR.
, CLERK&S SIGNATURE ON DISCHARGED BY:
ADMISSION NURSE:
DISCHARGE
INST RU CTI LN S
PREPARATION: Prepare form in duplicate. All headings must be completed and
other information supplied by circling appropriate wording. This form to be
made out for each admission, including births in hospital.
DISPOSITION: Duplicate of form to be sent to hospital clerk at time of
admission. Clerk will sign form and return it to paticnt's chart. At time
of discharge, duplicate form, completed as to time of discharge will be
returned to the clerk. Original of form to be retained with patients chart.

 IBEIIHAIA IEOSEITAL
be z1he;u.I , Kc v Liu ckgy .
RECORD OF ADLISBIOIU AID DIQSC}L.L.R"¥]£ FROLQ }{O€}l*IZ`!LL
TLQE DAILZ UF BIRTH w_ __
ADDPQ  FILE HITLALE I RITE C GLOBE
(Clzcck; Et; Iimpe IEC. of Empioye}
I.u¥.l¥iRI   3 I  GIIQ DIV CRC  
H,;RL}§_ZCY IIOTIIICPJEIOLI: I. A. D. ]?VT.EL5·iIOYE OTTSIDEZ
lY;l.LE FIRST ADljIS3IOZ,I‘? IES IO
HADDRDQES _____ .zl.DI.;[€$ION AU“I‘HORI,1ED BY :
-. ....-. M- . DR- ___________________
  OF ;LDE..I}SIOlI IAIIIIYT RECEIVED EY:
HEEQR   ¤DZ.QI33ICIf U. Ig IL. ZETRSE:
EIEIIZ"} CF CE/i.lIl·?.·QS: CQI!}3}E‘? TO I~`ILT’T. VQLLIIIEGLS. LIST 8;   DISIVCLBIIIOTT
\T`—"¤"'¥f*f"
A -;-»Du_L.;».J
  KI'. I`IC¤E5HII’ IO IUTIILYT
  CIV DIBCELRGIQ: ___ DISCEZIEGIZ I.UIHORI.LZ3D BY:
IUC}; OF DII%CjL.Z2C·E: __ _ _ DR. _ ____
CiE;)RK‘S iiIC}lQ[L‘7JEL JIT DISCLLQVGJJ BY:
DE fI.].T]I CIE _ __ _ ZLLRSI3: ____ __
DI SCE, HG;] __ __ _
INSTR'LJC'II DIS
IPQQI~;Ii.Ql‘ICJiT: Pr·ey;I;·~;e fum; in ;.uy>IIc;;tc. LII h©s_nrzI.2mi_an su.1ypl;=.,0, by c1;·<.:l;L:u;i ai·T:1·03miid;© I`JOI`xiIiX{;.. This; form to be
· mm mt xls; each zrl1xir,_;I~‘>m, 1;;·I1Id1;1;‘; E2I.L‘"QLS in h0s;g>It;1I.
DIQI`G7’3I‘TIOjE: DL; ‘“\. I -j_r;·me: of I`0·r1:; ·r»;— be sem; to kwzmiigzxl ctleyic gt 131;,.c 0i`
I I
<;x<1xV.1.¤;:11c¤;;., Glu"}; will xiegn fom,   ri*tu2‘;; in to ) ¤¤·t,i»m*¤;‘:= chgmt. At $1:4;
rf m:;, <:»1:;].L¤©¤<1 as in 111:30 01 d1s<;hA1*gjc will im
1xm1.;*2D 1 IO zi.; cl.=-:n¢l—;. 0·r1»jri Cpl if I·OI`1I* nj-r> be ;*©‘m;L11wL with p·;L1;;m;s chmrt.

 
   ·······   INTERNATIONAL HARVESTER corvrpmw
,4 HARvEs·rER Buu.¤rNG, Curcmso, up
Invoice No._;....
som  From ¤¤¤l ¤—1¤¤¤ "works
  H<¤‘i’€=*  ¤‘  ______E4__,W_ Jim w , l€¢45· 19__
.7 Cmcai O' HL _ Your Urdor No.
Torms_;_____Ext. Tkt._EEEE,Ed _d___ Shipped Viat__,__“____.,0ar No._.___
` }_’_j»·i<~2d.1c¤l. SE vices _____ W     $250  
 ;g¤;;g'a2 L$;;1yoy__A_____?p_     155  
    EAEE    LW  
        _E
i   ii i ii
_____iWiE_E___E____EEE_______i___ Wir_ii_______
_.__LL___._E._“__.___ii,_Ei*ii ___
’   ii {  
—””i iii ai“i—““—"’“—__—°i’—“;”i—“i"*
.__.;..;|ii._....T i, _;__i% _____

 l U?x_g  »· A  
H G S P I T A L
Lionth Season
-, W, ,_ . .»` _ L V ”- _
  L /.9./j' I V! -    
  .
Hom; (Dog;;o1oi; ion __ [   ’
. i   _ Y ,
" _   `/ / ` i V /, f I
·£¤ 5 · I t _' Q   Q ,· »* { ·'l* ·_
Wlomss ... ..  .....-.._ . ..   . 4_-__. ..-_..  
zggpm   1 .¢&Li*,.E..LI1.A»~.€3..-’· QM M     '° " (  
. . 1
Equg mz '; i . --  
. , o I /‘   . ·
L1,i:;1t og PO‘iI€;"___ _ ~.-;;  ‘»
Fuel; - .., -..-._....._........ ·   Y V   “
¥!Z146@I° ____ __,_ _____ -· -4   · Q;
    9 »—'“ ' _s     '\ _' fi   `/.` ""L rf
s ,
• 1
Exov. fo; bmi debts i ‘   o      
, » ,. ·-—`,_ _ I ~ (1 `L ·¤ ` Z -7 2 "
Tocal 1;.·-,_n©mso_ !     ¤i ___-V; · ` ·
l..é.D.   >   ‘- `_ i  _~5_  
, 1
Emi.   Room — 4;my]oyo¤__.‘ .-.._..--     · V? " V  
" Outside ...- ' l' " W ·» ' .._..... ° ,    
Oporazi Lug Room I *2   w - " *1   O3
1;-Hcy Q; mist;]. . I   g (Og Y iv 1[ `, *‘
 _
_ _ gy·:,_‘//, pry V
‘l‘otzq_ C,1·©d5_·i;g x / 5 ‘\ M ..,»:...-   - 1
i \
. . Y "' r' Y ' ‘  
Profu: or Loss 

 l COAL MINES I
QQZLDI CA:_I;_g§._'I*1 LNDJUJCE `
  xt! 1 . . 1 "°O A ___
{_ _ . ' , K} V 4 *
..¢Q§L.-l&@.Q1Q.Q.l..§;LI‘ ` >.Q.L;1.;..$...` ° .._......- ..... -— -- I ` 4 Y ....... .........- 4.-]
-&i§EL.-B@z1?¤ z1£1¤*¤i<>¤> __ _,   ._- _... .,
  Laundry " u = , if . 1 », -_ %
GO'} S{i].&jL`1OS   ‘ .  I · if "   '   I
Doctors _ , ( » · ·"    ·L- ~ _.
ikmws _ .   I ~    “ ." -____ l
..o.>5_- Q<>..;:1¤.r.,s; Og s -_.___-.______ __, ‘ “   <;_oL
i_606 Repair; oyd Mainteigagco __ A ___   *   ‘ [ I     [
i_QO’7 l}.§i,sc<2llgp;ggs Suo`J].io5_________!________ ____Q___;» V ··'.—   H  
oO€3 L1 gif;] ami Povrear __ _____;__ i Q ' '   l"  
GQQ Epo}, __ ,,,i____.-..-.--.. ---.--i ..... -.--...- --   · . -- ...» · I   1 '
o 10 Hogg; ______ ___________ ____;_ ` 4 `_ E _ Z   -  
_;;_Ll 1ravoli:gg_E;c €.*I'1S£2 i ___i__ __ I H `' V  
Provision for Bad Debts '   _4 ' ‘ ; X
——-—-·—··---··——··············· ···········%········· l
. 1 _ . V i _ _ _ _ _   (.
‘ Top ol Exoogigi_______ It _;  · I- 5 A i g * >» i--
Exrarcll C<>1l¤¤‘¤1<>¤S -1 ’     " ‘ ’*   .;;i
1
EBA Medical Service _ z `, *.4 ·   · * ‘
Hgspital Czrodita ___   _ _ l _*.   .. i ..;.;i·.·,)..  
i II ·
..._.....-,.-..-.,.................. .—..- .. ·——-·
1 i 4, _   \ .   _ `
Tgwl. Gi··,di·t:o I »· ’ _ ’ ._·  ># : ’   U, '
_  .   M ..._. _ t t t
L.O.¤j.¤i¤..O-(’.3&;il;££S;L.U j..u..¤§; ‘*..~i“;;5;P r ..1   .... ..5

 COAL MINES
ILHQDI Ogg; _1§"1‘;1JDA1ICE I
  L
_,7-_._._..MQm;¤. " C < w.;
,_\ `,· , I    I _ ` ` 'II (IQ
..I~LQ.L“-.MQdl· ©.;xL_S¤2J2p.l;1.’"s¢¤$$............-- . >· I *   ...-» = -L-Z “» -—
_6OZ Hyg (Dcpggmticm) ________   _ I __* __
 _IL¢%&222L@;.-_I._.__I.,,-._____ ~_________   In   ____ ___;;_;> I 
#504 SLiiLE`1YL`il3S I ‘_‘` I   .I -I I III   ;   I  
 OTS ________________ j cy; Q. I   ‘Z"‘   _
gprscs   I ’`‘” E.-.<   _____
(Egger __ ____ { ";f,.¢.@¤r;»;_-Q;a.;ts _._--,..----- ._.A ..- Y III- III I I *> I I  
_ 606 _H@‘0gir; ard Lig;Ln’c,*-’i—, A? r I
_QQ'? I\£is,cc;l;g¤20us ¤gut>l1c§ ___I_ _______   I ..--- ··`  
I I   < I I.
@@2 Ejgcl ____ ______,__I-,- _*.. --.--- ....   -..--.*.- -- ---——— —-~——#+— I
   @1* __' _____ ......,;,..___ ______   I ;. af: I   I I I
___6ll I‘gz1vclg1¤ I¤:»:pe.~r1s© M- _ I - - .;;I—
QE;;_gv1 51011 i`01;MI;gg D©b“c§~__ I _____ ___ _ _____l  j__;‘f 2 _;_ 
I I
Tg? ul Exp; nsc___ ___ I _ _   I M L `·.. I —i·       II I'? ’° I
I I   I I
I
EDA III:  ¤;.       I ;;> in ¤`  
HOB pliix]. C 21: @-1 ts _____ I_____________I___L_jL_g; 4, 1;:   I _______   L "  
I I I
I
____w___¤_________.....--,-..II.,---..-I.----M-_I“I_I._..._I..,..w- .I..I
llgwl Gg·I,d1»cs _ , __ _____I__;,.f ;*__; aI   ,- · ”   I
Lcssgo C91mting;>11’i Build $I3&p;g3§_s> I   I I ____ I __L

 Qj;_G S P I T A L
,1·.]Ol'1`ILh Season
  aaa], g;,3 .v’gl.3,¤ S I __ I » - I II < /_  
I. .'.. T . V ` ' , J. .5 I
Q;} ig IDG Qf'€;Gl<:l IJ .LOl'l
L?¤uI’LCI._;;}T __ _ ’?   '  ”i rI I I I Z "
»¤ V . E V.- ·" .\ i. `E '· ’/ . »» I
 es I   .Ia , I    
R _ _ . _ I " "X "V /"~ R n I
;@@p;11;·s: dg 1;L&3mt<—u@<·©.;¤. - - __......1....·.-·-—- —" v· _ f ·  
I I
E;‘..©   E
T. . ,-- Iw I    . 
_IJ]_,C IIE J) _?Q",_}1€f`£_‘"_ ¤   L>·,   ¤ I/`. ·. ‘.
Hue]. ___   I '  I
. · ~ x" Z`
  L4   ________________________,_________  
I I ¤ I I <
I
Egqv. for `0;.;;z¤ms@___ _ e J"` I       I`., i..·  
' l ETC;.   Room — ;u11;l.0y@a.. -- * Y`]     WT ' Y
*’ Outside i / ° ' UQ ‘
O1¤@rc¤»“c Lmg Room I   ‘ ¥  
, JX_R&?,; (L   I  CAR"-'L ` __]·C I I x` ‘.
I
,-1 ,1 , · Q¤ ‘  \{f,(`{II
_Lcvi;¤».;L Cmcdfcs —   ~   *·‘~
2 I , ,
Prcfit or Loss- *‘ 7*5* \ I · w»\_ ’ ,

 “’°"‘"°""“‘·* ····*·   INTERNATIONAL HARVESTER COMPANY
· HARVESTER BUILDING, CHICAGO, ILL.,
Invoice No._.__;.
Sold to   ~r~,·~,;     R     From as-·.-..~:;.   -Works
‘rU_,·_, .`   ;.· __ 3L1;:.`{ U3., 3.325  
CLL  .=, Lie;. Your Order No.________._.
TermS______Exi. Tki.__EEEE4,_EE__e__ Shipped Via_g_4,___#__.Car Nn.?_i_.1
  I —_”"    ””“’ I ‘ I ii “"—*I
I I-@@5, Os;]. Iizii`?/" ` (if} ____r___i_____ __ I_ II §;*"g g Ig!)
I I I II
I__j   :1c's   sv E-    
I I ig
I___pI p ’l`1‘t;v 11:;; Ritz-..:r;¢;A_____p__V____4_   I   Nhna £Q_··1~2m‘-
I I II
_____jIEEg EEEEE______E____,EE_   A_,iE__l__;I ______,__I___II  5%
I   I I I
_—*”—IRI__——*““1”'*”—'—_*—_—II"—é*III’“IT—
....;._-r._~j_. .EE..-e_ EEEE e-E.__;.._é_.....II_E-_YEie__..EII__.;
I II I
__E___I_; I I II
I     II
———_i_—%IdW·AM”~ I I
..l_.....§“ ’/" `/.{.‘L._f I-   ..._ ...._. . __ nl. mt. .._.... -t ._.._ -   .. I-;   ..._..Ii _.

 l {
GOAL MINES
l@3.D..I..C.%?;@._&T1?.Z?~`..i__lDf*Fl@`-@ A
  Momzli  
__¤;i;ii1_¢_gj_g_ai Sgmiggg __ { M ’" A   ______ __iiL{?..€Qi£l1§;i{.Q.
_@.LB@2i_E>.<;i2yi@_....-..._. .._ .. _...-l.,- -....  
605 Lcxundnry I  · J ., ji ei { { :  { , ) 5
_[ iff; j9}5133¤S _______ _________ _ 5 a { · ir _ {  »     
lloctors ____ _________ _ QT   * · Q) __.i,‘·j{»   __
1l¤l..m .--...l._ -.......   “   i-il{ 3  >   __. .-
<;...€h€1”._..__. .,.. .,-..i_--_.l_- 2 ` Qi: _ ¥;QgQf_Q,_l;?Q _. .....-..’
A g`;QT.§ Doryorg C3IjJ·3___________________ _ lll Cf? _        
{ 606 ..R·~? `¤g1r;;w;ril_1!;¤,1;ii©gQ.41Q;5_.-i .. {_. W |..._....»]{i.....; `* ill ¥>· UP
_QQ7 I¢lg5ooll;_eiioou5 Sgliog ______i_ _____ ___il_ r`»   ·· -·‘‘ ` f' ~‘    
gig; ;.j¤;y;_ omg Boyer -......- ~.-—   {     -·····   {  
5QQ _QE‘;,;gl_ ________,_,__l_i_-- -.--.--.. ..... .i.--.»..--- -- ....—.- --- --¢;—·’:  
___olOMjjg*gg; ________,_______ ________{F_ `.   ;_i_{¤   `Y  
n { v¤ rj  '
Gil Tiwivolimz Sozpanso ______ _ _ ‘ i    
I 1   Q _
Provision for Bad Debts _} `I g » 2 2 — ~ _}
{ r {
_________________,___,,,__,__.,_,,._._.-.._.,....... ; ....,.,...,...,....%..,...............
T2} ¤1 E>¤>¢¤¤»¢_,   { __ _       iii i- ’?   *  
· li
{ , _ ~
Qiyroll Collections {__ _ |r___;_;;   ·'#~ {{ __ ____ __ W · { { i   ‘  
| .
QBA Medical  ____ { ______ _ {       { _{ ` `_; ” {
{ , { { .» ·. V { { ·   .¤·‘‘ ' _  
Hospital Gyodi is { ·· ” Q ’ ‘ ___     C    _
" """'"""¤`“`“""“ `* " {
W li- { ll { ll. {_j{;_{{ _»
-_-”_"_“-· `~ M —{'_ ` -» , _ , * _ /_ 2 _ . !
Qgggl C1·;g_i“cs , __v   {   I /     I `Z   — ·
 
{   { 1 { { n
LOSS   bmi   Jl {__ 2 ll

 w°"‘"°"“*3‘·   ····   INTE3NAT|ONAL HARVESTER C0ivu=ANv
I HARvEs‘rER Bu1L¤iNG, C1—ucA I } »>_. II I I —, HY  
I ~ , , ~` — no.
    .   .V ; T _- I I KI `, .I`4).r/l.· `lwb k V};  
a  
- ,7 ~ » ~ I I f -¤ I · ~· .- _. ·
El~~w[_ TO;   diggfjg IV C -'~;.· ;·‘> · .   -;
I
*___———_~____—~_-A——-—_-__~_•__I' ¤ _
I fw; _,·‘ 2 . I [__` LI, _,»
I — `_   K I ,/ Q;-»’;”
Toocal. mkipé LL; G ...-._.t_._........I ~ W W I·’ I ·   · I
sx F ·` A   ,__I »· I -
I .,%.1]. ]i.X§;HSE3___ PI Z`» " "I   `   U j I! ··’_.
  •       _ JLIYIZLLJ   _ ,1   ;I\*_ *`; _·—; /'I.* I     .
N   __..· _'. ,_ I r/S)
I? Outsido ..........» ‘~ LI  U   ·———————' ’ I “  
_ C IQ __ I ` {   ` 2
Opo1w‘c_Lmg Room · I ·'~ ~»> I I—· I
4;-Ray Q; misc]. . __ I Q r °I .   `?r· Ir`} _'I I .5 I
`___,______.__.____;L I
rl I Aw Q I+   {I /I I 1. II"·   ¢`4_·I_I
LCUJA. C·I’€u1¤S —-—- I ’ " ..........-—- ·
. I   ‘ ·’II J? QH
pygfgjg Oy Logs  

 "’“"‘”°""“‘· ’···‘··   IPBFERNATIONAL HARvEs·rER CIOMPANY
HARVESTER BUILDING, Cr—rrcAG0, ILL.
Invoice No .,_..
sold   SGl‘Vj.CG CiZL!i'{`§T£ AQ COT1Ilt»· Fmm COBI Lingg works
HFviIv€S’Ji.,?I` B].€1j_§•! Sept'    
  Your Order No._____._
Terms___1L__Ext. TkL____; Shipped Via_j_;.__.Car No.___Ll_.
  V
L I   25¤I¤° I
. I—*‘ Ti?I=‘*;‘;—·—·—
I   Cl0;·k'g·, 5?uJ.m‘y   265I B5  
I I I1""`7—“__%I¥;~——
  I_—I; ems as
____L_IL_____________________II I   I
_..L.LI___.._._.L_”_II_mIL_I;LL
‘———*“’—~*i—E"“i*———·*E1YI*EE“RIr— —————_ I
..LL__.LI_L_...____.___.._1__._LII__LLLLLLILL_iI______
I I I EI
.—.—....   L- II__.._. L___IL_______L

 COAL MINES
*    gf LNDALICE I
_,_,_________ u• I &’ ¤‘0  __
. T `
_»/_ _ ` V G OI D ji I QI ,` I I- *·f;_
,_¤g},___M_Qd] gal, 53m*0l;g>,§ _____ ____ I   J- __,____ _,__..._,.;-· — ;
-§~;@..-E2;;t ID<>1.>2;;212.1*i<>¤I -_I._. W , _- -- .._  
mifif?- .... E r¥¥3€IF.*i.-..-,..-..-.---.---.-.-.;I;_-I-_.I______ ____;EeI;·¤z—s Ip I-III Q-I A J; ,
;`”*_‘_""’~’*""*"’ **f#ff ,,   ¢" ’ ·i*"/ —‘**‘_‘ *
I;I‘%§<2§..--_..__....--......_.___...I..._. 1 ;;.  ·i_,.____ I I I;_ > _---._- I
~ \_ . . I _ - , I, , .
Qjbhczc __ __ _ » 1 ‘ ’ ‘I I     I -   ___ _
,AL‘i._@sJ@;_Q;;1s_.__-,. ,... -_ _ , ,_4__.__-- _____I;_ #6 7;      
,;.5Q.@..i¤`<.@@i T5 ard &i.j.1iT€11Q.~».‘IlQ.‘§..- . - -- I ..   '*   ...-.... Q   I ·>  
_ r_ _ _1 I _ 2 »·‘ »~ ·     7 I ~» ·"
_gO7 lI;1sc©J._.;;g;©©us bmmylmg ___I_ ________ ____;__;»   .;i..;" —’  
. I . — I II ., I f` VI 1   V"} I,.
  ........ --..;.. · I - = I »  
/ r _ _ /,.
@@9 3m] _ ________,__d__._____ ___I  -...--,..-------  ..   ` ” i
__I_©lQ_ 113;;; ____ ___ _ ______ _ _____   ;j   ‘ f>·  
.1 . *· I,. .I  
tml Travclyxar Bxpe  _ ___ __ I   f` »>~;;_I~
Provision for Bad Debts I QQ g` Q I _;_I.
"—"""""__°"""""""""""°`—"°""— °*"""`—` ""` """""—'°"" `_`" `_ —`- I
I I
__,____________,___,_4____,_,,__,,,,,._____,_,_..-._,._.-_,, _.......-..-....,{,_,....,...-..... .... .....
I . ' _ _ _ I _/   I ~ `·_/\ . i _
Total Expense I U   z     . L   .> =/I . -·
@y1r©].l C0llcc*c101gg_ __I_ _ __ I   rv .;·» I I     I I “  
I
= I
QBA Mailicfil Q.i;j_;_jL§,;_______   ___ I____ ;   ji r—   _   " jr ;;— J  
F?¤=¤P1*=¤%_Cv~» >  
I I
  M W · "I‘ I I I I I
TOIQ1 G1·¤d1I;s I   . I   ~I~ »*> `/I ’ ”J° R     I
.- -.-......v-;1--._...........-.—.. ..L..- -....i—   I    
I I I I I I I
L0s;_j_0 I}·-!1§g3 __ I I J __ _____I._

 H O S P I T A L  
@$01;*011 __ Season
I . .
Mci} j ga; I Qf gp Ioj QS ji' f   ·w I E jo · · J  
  V
Rom`;. (D@prco1obionI _ I
LQLIIIGLLY. ¤ v 0 VK `I f ·  
qq ;»,..— Q _l_ _—~   Z TI   g y,.   { III
5 . 1 . P J   o C ,-.I
1ggpa1?&;._,_.;   "c > oo »» .     r ’ ; —¢·’
Equ j  mg I
I
~ - r ” ·` `Q I
L1; mz o; Rowe; I I.·¤ »          
QQQ:-L. __'