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
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