Death Records and CertificatesHeld by an archive
Transcription
Transcript
Uncertain readings are marked [?] or set in brackets; words that could not be read are marked as such. Each transcript is shown as written, with its transcriber’s notes.
The record
Document: One page: Commonwealth of Pennsylvania certificate of death (Form V. S. No. 5—B—7-31-16) for Frederick Bauer, who died at the American Oncologic Hospital, Philadelphia.
Language: English
Transcription conventions: on printed forms, pre-printed text is set in roman and handwritten entries in \italic\; wholly handwritten registers and lists are set in roman. Square brackets mark editorial matter: [?] follows an uncertain reading, [illegible] marks unread text, [blank] marks an unfilled field, and bracketed descriptions record stamps, marks, and annotations. Spelling, abbreviation, and capitalisation follow the original; nothing is corrected. On census and register pages that carry many unrelated entries, the page heading and the target household or entry are transcribed in full; the extent of what is and is not transcribed is stated on each page.
Form V. S. No. 5.—B—7-31-16. CERTIFICATE OF DEATH. Commonwealth of Pennsylvania. DEPARTMENT OF HEALTH Bureau of Vital Statistics [Pencil, upper right:] 600 [Pencil, centre:] 70 [?]
1\. PLACE OF DEATH. County of PHILADELPHIA, Township of [blank] or Borough of Philadelphia or City of PHILADELPHIA. Registration District No. 1. Primary Registration District No. [blank] File No. 82968 Registered No. 18427
Hospital or Institution, American Oncologic Hospital
2\. FULL NAME Frederick Bauer
Personal and statistical particulars
| Field | Entry |
| 3. SEX | Male |
| 4. COLOR OR RACE | White |
| 5. SINGLE, MARRIED, WIDOWED OR DIVORCED (Write the word) | Widowed |
| 6. DATE OF BIRTH | January (Month) 16 (Day) 1847 (Year) [typed] |
| 7. AGE | 76 yrs. 6 mos. 20 ds. [typed] |
| 8. OCCUPATION (a) Trade, profession, or particular kind of work | Retired [typed] |
| (b) General nature of industry, business, or establishment in which employed (or employer) | [blank] |
| 9. BIRTHPLACE (State or Country) | Germany [typed] |
| 10. NAME OF FATHER | Frederick Bauer [typed] |
| 11. BIRTHPLACE OF FATHER (State or Country) | Germany [typed] |
| 12. MAIDEN NAME OF MOTHER | Mrs. Rau [typed] |
| 13. BIRTHPLACE OF MOTHER (State or Country) | Germany [typed] |
| 14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE. (Informant) | Frederick H. Bauer |
| (Address) | 1409 Morris Bldg |
| 15. Filed | [Stamped:] AUG 7 1923 [signature], Local Registrar |
Medical certificate of death
16\. DATE OF DEATH August (Month) 5 (Day) 1923 (Year)
17\. I HEREBY CERTIFY, That I attended deceased from November 20 192*2*, to Aug 5 192*3*, that I last saw h*im* alive on Aug 5 192*3*, and that death occurred, on the date stated above, at [blank] M. The CAUSE OF DEATH was as follows: Carcinoma of Rectum [pencil:] 44 [crossed out] 45 (Duration) 1 yrs. 6 mos. [blank] ds.
Contributory (Secondary) [blank] (Duration) [blank]
In deaths of children under 2 years of age, state if Breast fed or Artificially fed. [blank]
(Signed) [?] Lehman [?] M. D. 8/5/1923 (Address) 5467 Pine St.
State the DISEASE CAUSING DEATH; or in deaths from VIOLENT CAUSES, state (1) MEANS OF INJURY; and (2) whether ACCIDENTAL, SUICIDAL, OR HOMICIDAL.
18\. LENGTH OF RESIDENCE (For Hospitals and Institutions.) At place of death … yrs. … mos. … ds. In the State … yrs. … mos. … ds. [blank]. Where was disease contracted, If not at place of death? [blank]. Former or usual residence 1737 N. 7 [?] … Ward, [blank]
19\. PLACE OF BURIAL OR REMOVAL Mt. Vernon Cem. [typed] DATE OF BURIAL Aug. 8, 1923 [typed]
20\. UNDERTAKER Mrs. H. Schneider & Son [typed] ADDRESS 619 W Olney Ave. [typed]
Transcriber’s notes
Identification: born 16 January 1847, son of Frederick Bauer and “Mrs. Rau”. This is Fredericka Bauer Wesemann’s brother Frederick, age 13 in the 1860 census household of Frederick and Christiana Bauer.
The mother’s maiden name is given only as “Mrs. Rau”, consistent with Christina Magdalena Rau. The informant, Frederick H. Bauer of the Morris Building, is probably a son; the certificate does not state the relationship.
The former residence and the physician’s name are partly illegible.
Grade: PRIMARY for the death; birth and parentage informant-supplied.