Monday, December 28, 2009

Paul Korda-2's Wife's Death Certificate, 1938


Certificate of Death: 31950

1. Place of death County of Cook, City of Chicago, Garfield Park Community Hospital
Length of time at place where death occurred
17 days
1a.
Place of residence
State of Illinois, County of Cook, City of Chicago, 5134 W. Medell Avenue


2. Full name Agnes Korda [Agnes Muszynski-2]
3. Sex Female
4. Color or race white
5. Single, married, widowed, or divorced married
5a. If married, widowed, or divorced, wife of Paul [Paul Korda-2]
6. Date of birth August 25, 1891
7. Age 47 years, 3 months, 7 days
8. Trade, profession, or particular work done Housewife
9. Industry or business Home
10. Date deceased last worked in this occupation unknown
11. Total time (years) spent in this occupation unknown
12. Birthplace Chicago, Illinois
13. Father John Muszynski-3
14. Birthplace of father Poland
15. Mother Anna Witkowski-3
16. Birthplace of mother Poland

17. Informant Garfield Park Community Hospital records, C. Knight, 3813 Washington

18. Place of burial St Adalbert Cemetery, Niles township, Cook County, Illinois
19. Date of burial Dec 5, 1938
20. Undertaker B.B. Drabonski, 1410 N. Ashland Ave.


Medical Certificate of Death

21. Date of Death Dec 2, 1938
22. I hereby certify that I attended the deceased from March 2, 1938 to Dec 2, 1938.
I last saw her alive on December 2, 1938. Death is said to have occurred on the date stated above at 7:45 p.m.
The principal cause of death was Carcinoma of liver and gall bladder
Date of onset March 1938
Other contributory causes Carcinoma of gall bladder
Date of onset March 1938
23. An operation was performed November 16, 1938 for carcinoma of the gall bladder
Was there an autopsy? No
What test confirmed the diagnosis? Physical and Xray

Signed: John J. Pflock, MD 2130 N. California Ave. Dec. 2, 1938. Telephone: Ham (sp?) 1720 25.

Filed by Registrar Robt A. Black,
1938 Dec 4 PM 6:46


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