Death Records and CertificatesHeld by an archive
1908 Pennsylvania Certificate of Death – Caroline Koenig, Philadelphia (37th Ward)
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
Transcription of: 1908_Death_Record_Caroline_Koenig.pdf
Document: Photocopy of a printed Commonwealth of Pennsylvania, Bureau of Vital Statistics Certificate of Death (Form V.S. No. 5), completed by hand; file no. 93217 stamped.
Conventions: original spelling kept; [?] = uncertain reading; [illegible] = unreadable; bracketed italic text describes images or marks the transcriber's notes.
Transcription
| Form | Form V. S. No. 5.—30M-2-14-08. |
COMMONWEALTH OF PENNSYLVANIA. BUREAU OF VITAL STATISTICS. CERTIFICATE OF DEATH.
| File No. [stamped] | 93217 |
| Registered No. | 93248 [?] |
PLACE OF DEATH.
| Borough of / City of | Phila |
| No. / St. | 1348 Rutte[?] [remainder of street name illegible] |
| Ward | 37 |
| Full Name | Caroline Koenig |
PERSONAL AND STATISTICAL PARTICULARS
| Sex | F |
| Color | W |
| Date of Birth (Month / Day / Year) | 11 / 22 [?] / 1850 |
| Age | 57 years, 10 months, 6 days. |
| Single, Married, Widowed, or Divorced | W |
| Birthplace (State or County) | Ger |
| Occupation | Hswk |
| Name of Father | Jno Knoll [or Knolle] |
| Birthplace of Father | Ger. |
| Maiden Name of Mother | Caroline Wetzel |
| Birthplace of Mother | Ger |
| Informant | J F Kieffer [?] |
| Informant's Address | 515 [?] Girard ave |
| Filed | [blank] |
MEDICAL CERTIFICATE OF DEATH
| Date of Death (Month / Day / Year) | 9 / 28 [?] / 1908 |
| I hereby certify, that I attended deceased from | 5/23 [?] 1908 |
| to | 9/28 1908 |
| that I last saw her alive on | 9/27 [?] 1908 |
| and that death occurred, on the date stated above, at | 10.40 [a?] M. |
| The Cause of Death was as follows | Uremic Coma |
| (Duration) | 1 Days |
| Contributory | Chr. Nephritis |
| [Stamped/pencilled number across cause-of-death area, grey] | 285 |
| (Signed) ... M. D. | [blank] |
| Place of Burial or Removal | Northwood |
| Date of Burial | 10/1 1908 |
| Undertaker | J F Kieffer [?] |
| Address | 515 Girard av |
| [Left margin, printed] | WRITE PLAINLY, WITH UNFADING INK—THIS IS A PERMANENT RECORD. N. B.—Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. The "Special Information" for persons dying away from home should be given in every instance. |
Transcriber's Notes
Street name after '1348' is unclear – begins 'Rutt...' or 'Rutte...'; ward 37 clear.
Date of birth day read as 22 (written like '22'/'33'); 1850 fairly clear. Age 57 y 10 m 6 d.
Date of death day read as 28 (could be 25); certification period 'to 9/28 1908' supports 28. Attended-from date read as 5/23 [?]; last-seen date 9/27 [?].
Registered No. handwritten, read as 93248 [?]; stamped File No. 93217 is clear.
Occupation abbreviated 'Hswk' (housework/housekeeper).
Father's name written 'Jno Knoll' with a flourish that could read 'Knolle'.
Informant and undertaker signature read as 'J F Kieffer' [?]; informant address first digits '5?5' (undertaker address '515').
Letter before 'M.' in the time of death is a single stroke, possibly 'a' (a.m.).
Physician's signature line is blank.