Logan County IL Archives Deaths.....Reinhart, Jacob December 12, 1959
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File contributed for use in USGenWeb Archives by:
Bill Stephenson woodart@srbfl.com August 29, 2006, 11:01 am


Name:                Reinhart, Jacob
Date Of Death:       December 12, 1959 Time: 7:10 pm
Place Of Death:      Beason, Ill.
Residence:           Unavailable
Gender:              Male
Race:                W
Age:                 63
Marital Status:      Married
Spouse:              
Date Of Birth:       November 28, 1866
Place Of Birth:      Waverly, Ohio
Mother's Name:       Bock, Katherine
Mother's Birthplace: Germany
Father's Name:       Reinhart, Peter 
Father's Birthplace: Germany
Cause Of Death:      Cancer Stomach
Hospital:            St Clara's Hospital
SS Number:           Unavailable
Occupation:          Ret. Farmer
Funeral Home:        The Sheets Co, Lincoln IL
Doctor:              E C Gaffney, MD
Coroner:             Unavailable
Informant:           Henry Reinhart
Date Of Burial:      December 14, 1929
Place Of Burial:     Atlanta, Ill.
Date Recorded:       January 10, 1930
Source Of Record:    State of Illinois Department of Public Health

Death Certificate of Jacob Reinhart
Transcription by William L. Stephenson, Jr., - Historian, Bock Family 
Association

State of Illinois
Department of Public Health	Standard Certificate of Death
Division of Vital Statistics

County Clerk’s Record

(1)	Place of Death County of Logan – Registration Dist. No. 574, Primary 
Dist No. 3394
City of Lincoln, St. Clara’s Hospital , Registered No. 224

(2)	Full name Jacob Reinhart
Residence 321 E. Center St. Decatur, Ill

Personal and Statistical Particulars
(3)	Sex – Male
(4)	Color – White
(5)	Martial status – Married
(6)	Date of Birth – Nov. 28, 1866
(7)	Age 63 years, 0 months, 14 days
(8)	Occupation of deceased – Ret. Farmer
(9)	Birthplace – Waverly, Ohio
(10)	Name of Father – Peter Reinhart
(11)	Birthplace of father –  City, no data 	Country of Germany
(12)	Maiden name of mother – Katherine Bock
(13)	Birthplace of mother  - City, no data	Country of Germany
(14)	Informant	Henry Reinhart
529 Third St. Lincoln, Ill

(15) Filed – Dec. 14, 1929	Cloyd F. Gerard, Registar

Filed 10th day of January 1930 Claude C. Tull, County Clerk

Medical Certificate of Death

(16)	Date of Death Dec. 12, 1929
(17)	 I hereby certify, That I attended deceased form Oct. 20, 1929 to Dec. 
12, 1929, that I last saw him alive on Dec. 12, 1929 and that death occurred, 
on the date stated above at 7:10 P.M.

The Cause of Death was as follows: Cancer Stomach – Duration 1 year 2 months

(18)	Where was disease Contracted
If not at place of Death: Beason, Ill.
Did and operation precede death: No
Was there and autopsy: No
What test confirmed diagnosis:	X ray exam

Signed – E. C. Gaffney M.D. 	Address: Lincoln, Ill.
Date – Dec. 13, 1929		Telephone: 1001

(19)	Place of Burial or Removal – Atlanta, Ill
Date of Burial – Dec. 14, 1929

(20) Undertaker – The Sheets Co.	Lincoln, Ill.



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