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DEATH CERTIFICATES

STATE DEPT. OF HEALTH
COLUMBUS
CERTIFICATE OF DEATH

Reg. Dist. No. 494
State File No. 60772
Primary Reg. Dist. No. 8227
Registrar's No. 5438?
1. PLACE OF DEATH: Hamilton County, Cincinnati
Name of Hospital: St. Francis Hospital
2. USUAL RESIDENCE OF DECEASED:  State: Ohio   County: Hamilton
City of Village: Cincinnati    Street No. 5211 Ebersole Av.
3. FULL NAME:  Frank Kneipp
4. Sex: M   5. Color: W   6. Widowed
7. Name of husband or wife: Mary Britton
8: AGE: 89 yrs. 5 mos. 10 ds.
9: Birthplace: Cincinnati, Ohio
10: Usual Occupation:  Machinist
11. --
12. Father: Peter Kneipp    13.  Birthplace: Germany
14. Mother's Maiden name: Carol King    15. Birthplace:  Germany
16. Informant's name: Joseph Kneipp    Address: 4421 Whetsel Ave. Cinti., O.
17. Burial Date: 10/7/46   Place: Calvary Cemetery, Cinti, O
Signature of Embalmer: J. L. Graham    Lic.#2963_
18.  Signature of Funeral Director:  H. P. Thomas  Lic. #2051
Address:  Cincinnati, O
19. Date received legal registrar: Oct. 9, 1946
Registrar's signature: Grace L___
MEDICAL CERTIFICATION:
20. Date of death: October 4, 1946    10 h  10 m.
21.  I hereby certify that I attended the deceased from 9-15-1946 to 10-4-1946 that I last saw him alive on 10-3-1946.
Immediate cause of death: Arterio Sclerotic Heart Disease 2 years
Due to General Vascular ______ 10 years
Other conditions: Bronchial Asthma   __ years
23. Signature:  Lee C. Went_____ M.D.
Address:  2725? Gilbert Av.  Date signed 10/8/46
 

(Contributed by Lori Chaffin from family records)

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