Death Records and CertificatesHeld by an archive
1958 Pennsylvania Certificate of Death – Frank B. Knoll, Wyndmoor, Springfield Township, Montgomery County
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: 1958_Death_Record_Frank_B_Knoll.pdf
Document: Photocopy of a Commonwealth of Pennsylvania, Department of Health, Division of Vital Statistics Certificate of Death (form HVS-20143–525M–9-55), filled in by hand, with a stamped file number.
Conventions: original spelling kept; [?] = uncertain reading; [illegible] = unreadable; bracketed italic text describes images or marks the transcriber's notes.
Transcription
HVS-20143—525M—9-55 [union label]-10
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH DIVISION OF VITAL STATISTICS CERTIFICATE OF DEATH
<table> <colgroup> <col style="width: 23%" /> <col style="width: 76%" /> </colgroup> <tbody> <tr class="odd"> <td><strong>Primary Dist. No.</strong></td> <td>46938-423</td> </tr> <tr class="even"> <td><strong>File No.</strong></td> <td>[Stamp: 27392]</td> </tr> <tr class="odd"> <td><strong>Registered No.</strong></td> <td>62</td> </tr> <tr class="even"> <td><strong>1. Place of death – a. County</strong></td> <td>Montgomery</td> </tr> <tr class="odd"> <td><strong>b. City, Borough or Township</strong></td> <td>Springfield Twp<br /> Wyndmoor</td> </tr> <tr class="even"> <td><strong>d. Full name of hospital or institution (if not in hospital, give street address)</strong></td> <td>7723 Beech Lane</td> </tr> <tr class="odd"> <td><strong>e. Is place of death inside municipality limits?</strong></td> <td>Yes ✓</td> </tr> <tr class="even"> <td><strong>2. Usual residence – a. State</strong></td> <td>Pa.</td> </tr> <tr class="odd"> <td><strong>b. County</strong></td> <td>Montgomery</td> </tr> <tr class="even"> <td><strong>c. City, Borough or Township</strong></td> <td>Wyndmoor</td> </tr> <tr class="odd"> <td><strong>[Handwritten beside 2c]</strong></td> <td>469</td> </tr> <tr class="even"> <td><strong>d. Street address or location</strong></td> <td>7723 Beech Lane</td> </tr> <tr class="odd"> <td><strong>e. Is residence inside municipality limits?</strong></td> <td>Yes ✓</td> </tr> <tr class="even"> <td><strong>f. Is residence on a farm?</strong></td> <td>No ✓</td> </tr> <tr class="odd"> <td><strong>3. Name of deceased (First / Middle / Last)</strong></td> <td>FRANK / B. / KNOLL</td> </tr> <tr class="even"> <td><strong>4. Date of death (Month / Day / Year)</strong></td> <td>MAR. 5, 1958</td> </tr> <tr class="odd"> <td><strong>5. Sex</strong></td> <td>M</td> </tr> <tr class="even"> <td><strong>6. Color or race</strong></td> <td>W</td> </tr> <tr class="odd"> <td><strong>7. Married / Never married / Widowed / Divorced</strong></td> <td>Married ✗</td> </tr> <tr class="even"> <td><strong>8. Date of birth</strong></td> <td>8-29-1889</td> </tr> <tr class="odd"> <td><strong>9. Age (in years last birthday)</strong></td> <td>68</td> </tr> <tr class="even"> <td><strong>10. Full name of spouse</strong></td> <td>Hazel K. Knoll</td> </tr> <tr class="odd"> <td><strong>11. Birthplace (also give state or foreign country)</strong></td> <td>Phila. Pa.</td> </tr> <tr class="even"> <td><strong>12. Citizen of what country</strong></td> <td>U.S.A</td> </tr> <tr class="odd"> <td><strong>13. Father's name</strong></td> <td>Charles Knoll.</td> </tr> <tr class="even"> <td><strong>14. Mother's maiden name</strong></td> <td>Caroline Weise</td> </tr> <tr class="odd"> <td><strong>15. Usual occupation (even if retired)</strong></td> <td>Pipe Fitter Reading R.R.</td> </tr> <tr class="even"> <td><strong>17. Informant</strong></td> <td>Hazel K. Knoll</td> </tr> <tr class="odd"> <td><strong>Address</strong></td> <td>7723 Beechy [?] Lane<br /> Wyndmoor Pa.</td> </tr> </tbody> </table>
MEDICAL CERTIFICATION
| 18. Cause of death | Interval between onset and death |
| Immediate cause (a): Coronary artery disease with occlusion | about 2 yrs |
| Due to (b): Generalized arterio sclerosis | about 2 yrs |
| [Handwritten code number] | 4201 |
| 21. I hereby certify that I attended the deceased from | Oct. 26, 1957, to Mar. 5, 1958 |
| that I last saw the deceased alive on | Mar. 5, 1958 |
| and that death occurred at | 3:10 A.m., E.S.T. |
| 22a. Signature (M.D. circled) | Francis [?] Hartung, M.D. |
| 22b. Address | 5501 Greene St Phila 44 Pa |
| 22c. Date signed | 3.5.58 |
| 23a. Burial / Cremation / Removal | Burial ✓ |
| 23b. Date | 3-8-58 |
| 23c. Name of cemetery or crematory | Ivy Hill Cem |
| 23d. Location (City, Boro., Twp., & County) (State) | Philadelphia Pa. |
| 24. Date rec'd by reg. | 3-8-58 |
| 25. Registrar's signature | Carrie [?] S. Lebsel [?] |
| 26. Signature of funeral director | J. Malcolm Henderson |
| Address | 6301 Germantown Av. |
Transcriber's Notes
Informant's street is written 'Beechy [?] Lane' (with 'Wyndmoor' written beneath and running into the line); in items 1d and 2d it is 'Beech Lane'.
Physician's signature read as 'Francis [?] Hartung'; the given name is stylized.
Registrar's signature read as 'Carrie [?] S. Lebsel [?]'; uncertain.
Place of death 1b: 'Springfield Twp' written over the printed label, with 'Wyndmoor' beneath.
Time of death read as '3:10 A.m.' (the A is written over the printed m).
Handwritten '469' beside the residence township and '4201' in the cause-of-death area are code numbers.