STATE DEPT. OF HEALTH
DIVISION OF VITAL STATISTICS
CERTIFICATE OF DEATH
Reg. Dist. No. 3101
Name: Francis L. Kneipp
Sex: Male
Date of Death: June 4, 1988
Race: White
Age Last Birthday: 83
Date of Birth: June 13, 1998
County of Death: Hamilton
FULL NAME: Francis L. Kneipp
VILLAGE OR LOCATION: Cincinnati
HOSPITAL: Christ Hospital
PLACE OF BIRTH: Ohio CITIZEN OF WHAT COUNTRY:
U. S. A.
ORIGIN OR DESCENT: German SOCIAL SECURITY #
300-10-2701
WAS DECEASED EVER IN U.S. ARMED SERVICES? No
MARRIED/NEVER MARRIED, WIDOWED, DIVORCED: Married
SURVIVING SPOUSE: Lillian N. Lutz
OCCUPATION: Auto Mechanic KIND OF
BUSINESS: A.B.C. Auto Electric
RESIDENCE: Ohio
COUNTY: Hamilton CITY: Cincinnati
STREET AND NUMBER: 3871 Eastern Hills Lane
INSIDE CITY LIMITS: Yes
FATHER: Frank C. Hneipp
MOTHER'S MAIDEN NAME: Grace M. Keim
INFORMANT: Lillian N. Kneipp
MAILING ADDRESS: 3871 Eastern Hills Lane Apt. 305,
Cincinnati, OH 45209
DEATH WAS CAUSED BY: Congestive Heart Failure
Due to Coronary Artery dis.
ATTENDING PHYSICIAN: J. MGarvey M.D.? 7/11/88
NAME & ADDRESS OF CERTIFIED PHYSIICAN:
James McB. Garvey Jr. M. D., 2230 Auburn Ave., Cinti O
45219
BURIAL, CREMATION: Burial
NAME OF CEMETERY: Laurel Cemetery, Hamilton County, Ohio
NAME OF EMBALMER: Dale A. Simendinger Lic# 7495-A
FUNERAL DIRECTOR's SIGNATURE: Paul Jones? Lic#3818,
Cincinnati, O 45227
REC'D BY: JUL. 11, 1988 Juanita M. Adams.
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