submitted by: Audrey
McGlynn May 11, 2000, reformatted April 2003
Relationship, if any to
deceased:
Source: Registration District No. 494 File No. 66163 / Primary Registration District No. 8227 Registered No. 6723 City of Cincinnati
Name: Helena Derfus
Sex: Female
Race: White
Date of Death: Dec
25 1912 at 5:15 P.M.
Age: 72 years 2 months
10 days
County of Death: Hamilton
City, Village or Location
of Death: City of Cincinnati
Hospital or Other Institution:
Date of Birth: October
15 1840
Place of Birth: Germany
Citizen of What Country:
Origin or Descent:
Social Security Number:
Was Deceased Ever In US
Armed Forces:
Marital Status: Married
Name of spouse:
Usual Occupation: House
Wife
Kind Of Business or Industry:
Residence - State:
County:
City, Village or Location:
Street: No. 213 Peeto
St.
Father Name: Valantine
Becker
Father Birthplace: Germany
Mother Maiden Name: Fredericka
Herancourt
Mother Birthplace: Germany
Informant - Name: John
Derfus
Mailing Address: 213
Peete St.
Death was caused by: Cerrbral
hemorhage
Burial, Cremation, other:
Date: Dec 28 1912 PM
Name of Cemetery or Crematory:
Carthage
Road Cemetery
Location:
Funeral Firm and Address:
Joseph
Schriber & Son 1910 Race St
Other information from submitter: Filed Dec 27 1912 / Registrar E Walter Ev_____Signed Oliver P. Coe Coroner / Dec 27 1912 by C Stagnaw
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©2003 by Linda Boorom