1928 Theodore Crisp Dental Record Odontogram Ledger Hartford CT Hotel Russell
$ 11.09
Description
1928 Theodore Crisp Dental Record Odontogram Ledger Hartford CT Hotel Russell. Condition is consistent with age and storage. The paper shows significant yellowing and browning, with a prominent vertical fold line running down the center. Two standard binder holes are present on the left margin, indicating prior filing. This is an original early twentieth-century dental record from the private office archive of a Hartford, Connecticut dentist, combining a clinical odontogram with a patient payment ledger on a single sheet. The record is associated with a patient named Mr. Theodore Crisp and documents a treatment and payment transaction dating to 1928. The printed form was manufactured by The C. E. Sheppard Company of New York, bearing form number 48109, and features a blue stamped odontogram at the top for charting dental conditions, alongside ruled columns for recording dates, chart numbers, treatment times, debits, and credits. The handwritten entries provide a glimpse into Mr. Crisp’s dental care and financial record. His address is listed as 30 Farmington Avenue, Hartford, Connecticut, with an additional notation of “Hotel Russell, 45 Park Ave,” suggesting he may have been a transient resident, a business traveler, or someone living temporarily at the hotel. On April 16, 1928, a treatment was rendered, recorded simply as “Treat,” with a charge of $5.00. Payment was received on June 18, 1928, in the same amount, indicating a straightforward credit transaction. The odontogram itself is blank, suggesting that either the clinical charting was completed on a separate form or that the treatment did not involve restorative work requiring diagram notation. This item is of particular interest to collectors of medical and dental ephemera, genealogists tracing the Crisp family in Connecticut, and researchers studying early twentieth-century dental record-keeping practices. The combination of a named patient, a specific Hartford address, a hotel residence, and a dated financial entry provides multiple avenues for historical and genealogical research. The form itself reflects the period’s standard office practices, where clinical and financial documentation were integrated into a single system for efficiency. Condition is consistent with age and storage. The paper shows significant yellowing and browning, with a prominent vertical fold line running down the center. Two standard binder holes are present on the left margin, indicating prior filing. The edges are slightly brittle and show minor chipping and wear. There is a faint reddish-brown stain near the top center, possibly from a rusted paperclip, and a slight crease or minor tear at the top left corner. The handwritten ink remains legible and stable. The item will be shipped folded along its original crease to preserve its integrity. PLEASE NOTE: This item may be shipped according to how it was originally folded.
