Death Records and CertificatesHeld by an archive
1940 Pennsylvania Certificate of Death – Charles Knoll, 2436 N. Marshall St., Philadelphia
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: 1940_Death_Record_Charles_Knoll.pdf
Document: Photocopy of a Commonwealth of Pennsylvania, Department of Health, Bureau of Vital Statistics Certificate of Death (form HVS-5B–50M–9-38), filled in by hand (name printed in capitals), with stamped file number and a faint filed-date stamp.
Conventions: original spelling kept; [?] = uncertain reading; [illegible] = unreadable; bracketed italic text describes images or marks the transcriber's notes.
Transcription
HVS-5B—50M—9-38
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH BUREAU OF VITAL STATISTICS CERTIFICATE OF DEATH
| [Handwritten near header] | 540 |
| File No. | [Stamp: 12512] |
| Registered No. | 2929 |
| Primary Dist. No. | 1 |
| 1. Place of death – County | Philadelphia |
| Township | (2436 N. Marshall St) |
| City | Philadelphia |
| No. ... St., ... Ward | 2436 N. Marshall St., 19 Ward. |
| Length of residence in city or town where death occurred | 82 yrs. |
| 2. Full name | CHARLES KNOLL |
| Residence: No. (Usual place of abode) | 2436 N. Marshall St., 19 Ward. |
PERSONAL AND STATISTICAL PARTICULARS
| 3. Sex | Male |
| 4. Color or race | White |
| 5. Single, married, widowed, or divorced | Widowed |
| 5a. Husband of (or) wife of | Caroline Knoll |
| 6. Date of birth (month, day, and year) | Aug. 8, 1857 |
| 7. Age | 82 Years 5 Months 25 Days |
| 8. Trade, profession, or particular kind of work | Retired |
| 12. Birthplace (city or town) (State or Country) | Phila. Pa. |
| Father – 13. Name | John E. Knoll |
| Father – 14. Birthplace (State or Country) | Germany |
| Mother – 15. Maiden name | Barbara Wessell [?] |
| Mother – 16. Birthplace (State or Country) | Germany |
| 17. Signature of informant | Frederick Knoll |
| (Address) | 7421 Tabor Rd. |
| 18. Burial, cremation, or removal: Date | Feb. 5, 1940 |
| Place | Greenmount |
| County | Phila. |
| State | Pa. |
| 19. Undertaker (name and address) | Jno F. Fluehr & Sons 149 W. Susquehanna Ave |
| 20. Filed | [Stamp, faint: FEB 5 1940] |
| Registrar | [illegible, faint signature] |
MEDICAL CERTIFICATE OF DEATH
| 21. Date of death (month, day, and year) | February 2, 1940 |
| 22. I hereby certify, that I attended deceased from | January 2, 1940 to February 2, 1940 |
| I last saw h[im] alive on | February 2, 1940 |
| death is said to have occurred on the date stated above, at | 10.45 A.m. |
| The principal cause of death and related causes of importance | Date of onset |
| Chronic parenchymatous nephritis | 1937 |
| Myocarditis | 1937 |
<table> <colgroup> <col style="width: 23%" /> <col style="width: 76%" /> </colgroup> <tbody> <tr class="odd"> <td><strong>[Handwritten code numbers beside causes]</strong></td> <td>131 L<br /> 93 L</td> </tr> <tr class="even"> <td><strong>Was there an autopsy?</strong></td> <td>No</td> </tr> <tr class="odd"> <td><strong>24. Was disease or injury in any way related to occupation of deceased?</strong></td> <td>No</td> </tr> <tr class="even"> <td><strong>If so, specify</strong></td> <td>[a word written and struck through]</td> </tr> <tr class="odd"> <td><strong>(Signed) ... M. D.</strong></td> <td>O. W. Aichele</td> </tr> <tr class="even"> <td><strong>Date signed</strong></td> <td>2/2/1940</td> </tr> <tr class="odd"> <td><strong>(Address)</strong></td> <td>2832 N. 6th St.</td> </tr> </tbody> </table>
[Printed vertically in left margin:] MARGIN RESERVED FOR BINDING. 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. Exact statement of OCCUPATION is very important. See instructions on back of certificate.
Transcriber's Notes
Mother's maiden name read as 'Barbara Wessell [?]'; the surname could also be 'Wassell' or 'Wessel'.
Date of birth read as 'Aug. 8, 1857'; the day could be 6 or 8 (age 82 y 5 m 25 d at 2 Feb 1940 fits Aug. 8).
Physician's signature read as 'O. W. Aichele'.
Filed stamp and registrar's signature are very faint; the date looks like FEB 5 1940.
Code numbers beside causes of death ('131 L', '93 L') are later annotations.
Informant's signature 'Frederick Knoll' is a scrawl but reasonably clear.