STATE OF NEW YORK
Department of Health of The City of New York
Bureau of Records
STANDARD CERTIFICATE OF DEATH
Department of Health of The City of New York
Bureau of Records
STANDARD CERTIFICATE OF DEATH
Register No. 21480
1. Place of Death: Borough of Brooklyn
Name of Institution: St. Peter's Hospital
2. Full Name: Patrick Mulvaney
3. Sex: Male
4. Color or Race: White
5. (Marital Status): Married
6. Date of Birth: [blank]
7. Age: 58 years
8. Occupation:
a. Trade, profession, or particular kind of work: Retired
b. General nature of industry, business or establishment in which employed: [blank]
9. Birthplace: U.S.
a. How long in U.S.: life
b. How long resident in City of New York: life
10. Name of Father: James Mulvaney
11. Birthplace of Father: Ireland
12. Maiden Name of Mother: Bridget Rothwell
13. Birthplace of Mother: Ireland
14. Special INFORMATION required in deaths in hospitals and institutions and in deaths of non-residents and recent residents:
Former or Usual Residence: 270 Van Brunt St.
Where was disease contracted, if not at place of death: [blank]
15. Date of Death: November 8, 1919
16. I hereby certify that the foregoing particulars (Nos. 1 to 15 inclusive) are correct as near as the same can be ascertained, and I further certify that deceased was admitted to this institution on October 31, 1919, that I last saw him alive on the 7 day of November, 1919, that he died on the 8 day of November 1919, about 3:45 o'clock AM, and that I am unable to state decisively the cause of death; the diagnosis during his last illness was Gangrene of foot due to obliterating End-arteritis (operated) Pulmonary Edema.
Duration: [blank]
Contributory: chronic Myocarditis
Duration: [blank]
Witness my hand this 8 day of Nov. 1919
Signature: Heictor Meudelsohn, MD
House: Surgeon
17. [No autopsy]
18. Place of Burial: Holy Cross Cemetery
Date of Burial: November 11th, 1919
19. Undertaker: Henry J. Flood
Address: 297 Van Brunt St.
(Next Page)
I hereby certify that I have been employed as undertaker by Julia Mulvaney the wife of deceased. This statement is made to obtain a permit for the burial or cremation of the remains of deceased Patrick Mulvaney.
Signature: Henry J. Flood
If Patrick was 58 when he died in 1919, he would have been born around 1861, which is approximately in line with the birthdate he's given in the past of 1863. His parents were Bridget Rothwell and James Mulvaney. (I bet you never knew we were Rothwells!) I believe I've come across their family on 1860 and 1870 census records, which I'll hopefully be able to post tomorrow. I had heard from Betty and John that Patrick had died of complications from diabetes, which could seem to be related to the gangrene of the foot that is listed as his cause of death. I had difficulty reading the doctor's handwriting, but I believe that what I transcribed above is pretty accurate, although his chronic disease seems to be heart-related more so than diabetic. If anyone has any idea what any of those medical terms mean, please do let me know.
Name of Institution: St. Peter's Hospital
2. Full Name: Patrick Mulvaney
3. Sex: Male
4. Color or Race: White
5. (Marital Status): Married
6. Date of Birth: [blank]
7. Age: 58 years
8. Occupation:
a. Trade, profession, or particular kind of work: Retired
b. General nature of industry, business or establishment in which employed: [blank]
9. Birthplace: U.S.
a. How long in U.S.: life
b. How long resident in City of New York: life
10. Name of Father: James Mulvaney
11. Birthplace of Father: Ireland
12. Maiden Name of Mother: Bridget Rothwell
13. Birthplace of Mother: Ireland
14. Special INFORMATION required in deaths in hospitals and institutions and in deaths of non-residents and recent residents:
Former or Usual Residence: 270 Van Brunt St.
Where was disease contracted, if not at place of death: [blank]
15. Date of Death: November 8, 1919
16. I hereby certify that the foregoing particulars (Nos. 1 to 15 inclusive) are correct as near as the same can be ascertained, and I further certify that deceased was admitted to this institution on October 31, 1919, that I last saw him alive on the 7 day of November, 1919, that he died on the 8 day of November 1919, about 3:45 o'clock AM, and that I am unable to state decisively the cause of death; the diagnosis during his last illness was Gangrene of foot due to obliterating End-arteritis (operated) Pulmonary Edema.
Duration: [blank]
Contributory: chronic Myocarditis
Duration: [blank]
Witness my hand this 8 day of Nov. 1919
Signature: Heictor Meudelsohn, MD
House: Surgeon
17. [No autopsy]
18. Place of Burial: Holy Cross Cemetery
Date of Burial: November 11th, 1919
19. Undertaker: Henry J. Flood
Address: 297 Van Brunt St.
(Next Page)
I hereby certify that I have been employed as undertaker by Julia Mulvaney the wife of deceased. This statement is made to obtain a permit for the burial or cremation of the remains of deceased Patrick Mulvaney.
Signature: Henry J. Flood
If Patrick was 58 when he died in 1919, he would have been born around 1861, which is approximately in line with the birthdate he's given in the past of 1863. His parents were Bridget Rothwell and James Mulvaney. (I bet you never knew we were Rothwells!) I believe I've come across their family on 1860 and 1870 census records, which I'll hopefully be able to post tomorrow. I had heard from Betty and John that Patrick had died of complications from diabetes, which could seem to be related to the gangrene of the foot that is listed as his cause of death. I had difficulty reading the doctor's handwriting, but I believe that what I transcribed above is pretty accurate, although his chronic disease seems to be heart-related more so than diabetic. If anyone has any idea what any of those medical terms mean, please do let me know.
No comments:
Post a Comment