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DEATH CERTIFICATES

Reg. Dist. No. 494
Primary Reg. Dist. No. 4735

OHIO DEPARTMENT OF HEALTH
COLUMBUS
CERTIFICATE OF DEATH

Department of Commerce - Bureau of the Census

State File No. 57270
Registrar's No. 4530
1. PLACE OF DEATH:
  (a) County: Hamilton
  (b) Township: Anderson Twp.
  (c) Name of hospital or institution:  at Home
  (d) Length of stay:_____
       In this community:  7 months
3. FULL NAME: Dora K. Dres
4. Sex: F 5. Color or race: W 6(a) Single, widowed, married divorced: W

6.(b) Name of husband or wife:
Michael Dres
7. Birthdate of deceased: March 26, 1873

8. AGE: 74 yrs. 4 Months 8 Days
9. Birthplace: Hamilton Co., Ohio
10. Usual occupation: (blank)
11. Industry or business: at home
12. Name of Father: Peter Kneipp
13. Birthplace of Father: Germany
14. Maiden name: Caroline King
15. Birthplace: Germany
16. (a) Informant's signature: Theodore Dres
  (b) Address R#1 Newtown, Ohio
17. (a) Burial cremation or other; (b) Aug. 7, 1947
  (c) Place: Calvary Cemetery
  (d) Name of embalmer: George W. Monroe  (Lic. No.) 3026A 
18. (a) Signature of Funeral Director: George W. Monroe (Lic. No.) 1281
  (b) Address: Milford, Ohio
19. Date received local registrar: Aug. 11, 1947  (b) Registrar's signature: Grace LeBris.  DEPUTY

 

2. USUAL RESIDENCE OF DECEASED:
  (a) State: Ohio  (b) County: Hamilton
  (c) City or Village: Newtown RFD
  (d) Street No: Round Bottom Rd. & Y. M. C. A. Rd., Anderson Twp.
MEDICAL CERTIFICATION:
20. Date of Death: Month 8 day 4 year 47 hour 5 minute 45
21. I hereby certify that I attended the deceased from 8-4-1947 to 8-4-1947 that I last saw her alive on 8-4-1947; and that death occurred on the date and hour stated above.
Immediate cause of death: Cerebral Hemorrhage - Duration 8 hrs.
Due to Hypertension
Other conditions: Senility



 
22. (blank)









 
23. Signature: M. M. Adams, M.D.
Address: Newtown, Ohio  Date signed: 8-6-47
(Contributed by Lori Chaffin from family records)

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