In recent research and conversation it was discovered that there was uncertainty about when Reinert Emerson had passed away. Reinert was my late cousin Ed's maternal grandfather who was born in 1870 and died near the Thanksgiving Day holiday in 1950. I was unable to find a copy of Reinert's death certificate among Ed's collection of papers and records. I knew the best way to find the correct date for Reinert was to see a copy of this document, so I placed an order.
I was so happy when I received a copy of this document. Like many, this document is a fill-in-the-blanks form. Washington State has the original on microfilm and they have digitized the filmed images. When a copy is requested, they print it onto a blank certificate form which makes it look fresh and modern.
For today's transcription project, I show the written and typed information is a RED font. Any of my comments are surrounded in square brackets [ ].
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| IMAGE: Death Certificate #19286, issued to Reinert I. Emerson, date of death November 24, 1950 Washington State Department of Health Center of Health Statistics [1] |
-------- transcription begins --------
[State Seal] STATE OF WASHINGTON [State Seal]
DEPARTMENT OF HEALTH
WASHINGTON STATE DEPARTMENT OF HEALTH
PUBLIC HEALTH STATISTICS SECTION
CERTIFICATE OF DEATH
REG. DIST. NO. 5068 [rubber stamped]
REGISTRAR'S NO.
STATE FILE NO. 19286 [rubber stamped]
1. PLACE OF DEATH
a. County KING
b. CITY OR TOWN Seattle
(If outside corporate limits, write RURAL and give township)
c. LENGTH OF STAY 1 week
(in this place)
d. FULL NAME OF HOSPITAL OR INSTITUTION Seattle General Hospital
(If not in hospital or institution, give street address or location)
57 [hand written]
2. USUAL RESIDENCE (Where deceased lived. If institution: residence before admission.)
a. STATE Washington
b. COUNTY King
c. CITY OR TOWN Seattle (rural)
d. STREET ADDRESS 12547 17th Ave. N.E.
3. NAME OF DECEASED (Type or print)
a. (First) REINERT
b. (Middle) I.
c. (Last) EMERSON
4. DATE OF DEATH (Month) (Day) (Year) November 24, 1950
5. SEX Male
6. COLOR OR RACE White
7. MARRIED, NED MARRIED, WIDOWED, DIVORCED (Specify) Married
8. DATE OF BIRTH Dec. 18, 1870
9. AGE (In years last birthday) 79
If Under 1 yr.|months|days || If Under 24 Hrs.|Hours|Min.
10a. USUAL OCCUPATION Retired
(Give kind of work done during most of working life, even if retired)
10b. KIND OF BUSINESS OR INDUSTRY farmer
11. BIRTHPLACE Paynesville, Minn.
(State or foreign country)
12. CITIZEN OF WHAT COUNTRY? [blank]
13. FATHER'S NAME Raymond Emerson
14. MOTHER'S MAIDEN NAME Not known
[handwritten number] 5501
15. WAS DECEASED EVER IN U.S. ARMED FORCES? [blank] (Yes,no, or unknown) | If yes, give war or dates of service)
16. SOCIAL SECURITY NO. [blank]
17. INFORMANT Hospital records - Seattle, Wn.
18. CAUSE OF DEATH Enter only one cause per line for (a), (b), and (c)
*This does not mean the mode of dying, such as heart failure, asthenia, etc. It means the disease, injury, or complication which caused death.
MEDICAL CERTIFICATION
I. DISEASE OR CONDITION DIRECTLY LEADING TO DEATH*
(a) Ruptured appendix c̄ abcess [sic] [ c̄ means "with", abscess]
INTERVAL BETWEEN ONSET AND DEATH [blank]
ANTECEDENT CAUSES Morbid conditions, if any, giving rise
to the above cause (a) stating the underlying cause last.
Due to (b) Terminal pneumonia
Due to (c) [blank]
II. OTHER SIGNIFICANT CONDITIONS Conditions contributing to the
death but not related to the disease or condition causing death.
19a. DATE OF OPERATION 11-17-50
19b. MAJOR FINDINGS OF OPERATION Ruptured appendix c̄ abcess [sic]
[ c̄ means "with" abscess]
20. Autopsy Yes
21a. ACCIDENT | SUICIDE | HOMICIDE [blank]
(Specify)
21b. PLACE OF INJURY [blank]
(e.g. in or about home, farm, factory, street, office bldg., etc.)
21c. (CITY, TOWN, OR TOWNSHIP) (COUNTY) (STATE) [blank]
21d. TIME OF INJURY [blank]
(Month) (Day) (Year) (Hour) m.
21e. INJURY OCCURRED [blank]
While at work □ Not while at work □
21f. HOW DID INJURY OCCUR? [blank]
22. I hereby certify that I attended the deceased from 11-17, 1950, to 11-24, 1950, that I last saw the deceased alive on 11-24, 1950, and that death occurred at 8:35 am., from the causes and on the date stated above.
23a. SIGNATURE Lloyd H Silver M.D.
(Degree or title)
23b. ADDRESS 3207 East 125th. St.
23c. DATE SIGNED 11/25/50
24a. BURIAL, CREMATION, REMOVAL Buried
(Specify)
24b. DATE 11/29/50
24c. NAME OF CEMETERY OR CREMATION Acacia Cemetery
24d. LOCATION Seattle, WN.
City, Town, or county) (State)
DATE REC'D BY LOCAL REG. Nov 27 1950 [rubber stamped]
REGISTRAR'S SIGNATURE Emil E. F???????? [rubber stamped]
25. FUNERAL DIRECTOR ADDRESS
Mittelstadt Lake City Funeral Home
M G Deen 718
DEC 11 1950 [rubber stamped]
DOH 422-131 (4/16)
NOT VALID IF PHOTOCOPIED OR ALTERED
------- transcription ends --------
1.) Washington State Department of Health, death certificate no. 19286, Reinert I. Emerson (1950); Washington State Department of Vital Statistics, 101 Israel Road SE, Tumwater, Washington 98501.
It is nice to now know with certainty that Ed's grandpa Reinert died on November 24, 1950. His death happened the day following Thanksgiving in 1950. We also know the causes of his death and where it occurred.
Amanuensis Monday is a weekly blog theme that was started by John Newmark, the author of TransylvanianDutch blog. John defines Amanuensis as "A person employed to write what another dictates or to copy what has been written by another." I also appreciate the good work and format examples of San Diego genealogist Randy Seaver of the blog Genea-musings. Thanks guys.
Transcribing helps me to learn what a document contains. I have learned over time that I have a tendency to "skim" over an item; a bad trait for a researcher who needs to learn even the smallest details documented records contain. Transcribing helps me to slow down and "smell the flowers," and to capture all aspects of the paper in hand. It also gives me a better opportunity to share the document with you.
I hope you enjoyed today's post and that your week has started off pleasant. Thank you for joining me here.
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Please comment regarding this post on the website by clicking the URL above and then use the "Comments" link at the bottom of each post. Or contact me by email at dsteff4246[at]gmail[dot]com. Thank you. I am glad you stopped by.
Please comment regarding this post on the website by clicking the URL above and then use the "Comments" link at the bottom of each post. Or contact me by email at dsteff4246[at]gmail[dot]com. Thank you. I am glad you stopped by.
Copyright (c) 2017, Darlene M. Steffens. All rights reserved.
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