STATE OF OHIO
BUREAU OF VITAL STATISTICS
CERTIFICATE OF DEATH

PLACE OF DEATH:  Little Sisters of the Poor
Township of Clifton Heights - Registration Dist. No. 494  File No. 24794
Village ___  Primary Registration District NO. 8227  Registered No. 2671
City of Cin, O.   No. Little Sisters Poor R_
FULL NAME:  Peter Kneipp
PERSONAL AND STATISTICAL
SEX: Male        Color or Race: White      Single/Married/Widowed: Widowed
DATE OF BIRTH: Do Not Know
AGE: 82 yrs.
BIRTH PLACE:  Do Not Know
NAME OF FATHER:  Jacob Kneipp
BIRTHPLACE OF FATHER:  Do Not Know
MAIDEN NAME OF MOTHER: Do Not Know
" BIRTHPLACE: Do Not Know
THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE:
H. Ignatius
Address:  Little Sisters of the Poor
Filed: Apr. 19, 1918 - Ewaller E_____
MEDICAL CERTIFICATE OF DEATH:
DATE OF DEATH: April 17, 1918
I HEREBY CERTIFY, That I attended deceased from April 1st 1918 to April 19th, 1918 that I last saw him alive on April 16, 1918.
The CAUSE OF DEATH was as follows:
Arterio Sclerosis
Contributary: (illegible)
Signed ____(illegible)
April 18, 1918     Address: (illegible)
LENGTH OF RESIDENCE at Place of Death: 3 yrs. 7 mos.
PLACE OF BURIAL : Catholic Cem - Madisonville
DATE OF BURIAL: April 20, 1918
UNDERTAKER, J. J. Sullivan & Co.
ADDRESS: Cinti, O.