Hamilton County OhArchives Deaths.....Crothers, William Windel, Jr. Nov. 14, 1928 ************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/oh/ohfiles.htm ************************************************ File contributed for use in USGenWeb Archives by: Cheryl Brand icareindiana@yahoo.com August 10, 2006, 4:41 pm Name: Crothers, William Windel, Jr. Date Of Death: Nov. 14, 1928 Time: 11:45 pm Place Of Death: Cincinnati, Hamilton County (Registration District No. 494 File No. 67156) Residence: No. 4851 Paddock Rd. St. Ward Gender: Male Race: W Age: 43 years, 1 month, - days Marital Status: Married Spouse: Crothers, Ruth Perin Date Of Birth: October 14, 1885 Place Of Birth: Cincinnati, Oh Mother's Name: Wilcox, Ida Mother's Birthplace: Covington, Ky Father's Name: Crothers, William Father's Birthplace: Cincinnati, Ohio Cause Of Death: Chronic valvular heart disease, Myocarditis Hospital: Unavailable SS Number: Unavailable Occupation: Secy & Treas. at Clifton Shirt Co. Funeral Home: G. W. Wiltsee Doctor: Dr. T. J. Beck Coroner: Unavailable Informant: Mrs. W. W. Crothers of 4851 Paddock Rd. Date Of Burial: November 16, 1928 Place Of Burial: Spring Grove Cemetery Date Recorded: November 16, 1928 Source Of Record: State of Ohio, Department of Health, Division of Vital Statistics, Certificate of Death Certificate No.: Primary Registration District No. 8227 Registered No. 6913 State of Ohio Department of Health Division of Vital Statistics Certificate of Death 1. Place of Death County: Hamilton Registration District No. 494 File No. 67156 Township: - Primary Registration District No. 8227 Registered No. 6913 or Village: - No. St. Ward or City of: Cincinnati 2. Full Name: William Windel Crothers Jr. Did Deceased Serve in U.S. Navy or Army: - (a) Residence. No. 4851 Paddock Rd. St. Ward PERSONAL AND STATISTICAL PARTICULARS 3. Sex: Male 4. Color or Race: White 5. Single, Married, Widowed or Divorced: Married 5a. If married, widowed, or divorced Husband or or Wife of: Ruth Perin 6. Date of Birth: Oct. 14, 1885 7. Age: 43 years, 1 month, - days 8. Occupation of deceased: (a) Trade, profession, or particular kind of work: Secy & Treas. (b) General nature of Industry, business , or establishment in which employed (or employeer): Clifton Shirt Co. (c) Name of Employeer: 9. Birthplace: Cincinnati, Oh 10. Name of father: William Crothers 11. Birthplace of father: Cincinnati, Ohio 12. Maiden Name of Mother: Ida Wilcox 13. Birthplace of mother: Covington, Ky 14. Informant: Mrs. W. W. Crothers (address) 4851 Paddock Rd. 15. Filed: Nov. 16, 1928 Registrar MEDICAL CERTIFICATE OF DEATH 16. Date of death: Nov. 14, 1928 17. I hereby certify, that I attended deceased from Jan. 1, 1920 to Nov. 14, 1928 that I last saw him, alive on Nov. 14, 1928, and that death occurred, on the date stated above, at 11:45 m. The cause of death was as follows: Chronic valvular heart disease (duration) ? years contributory: myocarditis (duration) ? years 18. Where was disease contracted if not at place of death? - Did an operation precede death? No Was there an autopsy? No What test confirmed diagnosis? Physical Exam (Signed) Dr. T. J. Beck Nov. 15, 1928 (address) 4848 Paddack Rd. 19. Place of Burial, Cremation, or Removal: Spring Grove Date of Burial: Nov. 16, 1928 20. Undertaker: G. W. Wiltsee Address: 24 W. 9th St. 20a. Was the body embalmed? - Embalmer's License No.: - File at: http://files.usgwarchives.net/oh/hamilton/vitals/deaths/crothers45gdt.txt This file has been created by a form at http://www.genrecords.org/ohfiles/ File size: 3.9 Kb