John Robert Derfus Death Certificate  

Death Certificate Extract

submitted by: Audrey McGlynn May 11, 2000, reformatted April 2003
Relationship, if any to deceased:

Source: Registration District No. 494 File No. 60572 / Primary Registration District No. 8227 Registered No. 5890 City of Cincinnati

Name: John Robert Derfus
Sex: Male
Race: White
Date of Death: Nov 14 1915
Age: 71 years 9 months 20 days
County of Death: Hamilton
City, Village or Location of Death: City of Cincinnati (No. 213 Peeto St. 10th Ward)
Hospital or Other Institution:
Date of Birth: January 25 1844
Place of Birth: Cincinnati O
Citizen of What Country:
Origin or Descent:
Social Security Number:
Was Deceased Ever In US Armed Forces:
Marital Status: Widowed
Name of spouse:
Usual Occupation: Cigar Maker / employer Haas Bros.
Kind Of Business or Industry:
Residence - State:
County:
City, Village or Location:
Street:
Father Name: John Derfus
Father Birthplace: Germany
Mother Maiden Name: Margaretha unknown
Mother Birthplace: Germany
Informant - Name: George Derfus / Address
Mailing Address: 208 Stetson St
Death was caused by: Carcinoma of Liver / Duration 6 mos
Burial, Cremation, other:
Date: Nov 17th 1915
Name of Cemetery or Crematory: Carthage Road
Location:
Funeral Firm and Address: Carl Rabe 2828 Vine St

Other information from submitter: Filed Nov 15 1915 / Registrar E Walter Evans
I Hereby Certify, that I attended deceased from Nov 8, 1915, to Nov 14, 1915 that I last saw him alive on Nov 13, 1915 and that death occurred at 5:30 P.M. Signed Wm T Velter MD / Nov 14 1915 Address 102 E McMickin



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