Hamilton County OhArchives Deaths.....Crothers, Still Borne July 12, 1917
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Cheryl Brand icareindiana@yahoo.com August 10, 2006, 4:49 pm


Name:                Crothers, Still Borne
Date Of Death:       July 12, 1917 Time: -m
Place Of Death:      Cincinnati, Hamilton County (Registration District No. 494 File No. 45868)
Residence:           No. 4851 Paddock Rd. St. Ward
Gender:              Female
Race:                W
Age:                 Still Borne 
Marital Status:      Single
Spouse:              
Date Of Birth:       July 12, 1917
Place Of Birth:      Cincinnati, Oh
Mother's Name:       Perin, Ruth 
Mother's Birthplace: Cincinnati, Ohio
Father's Name:       Crothers, W. W. , Jr.
Father's Birthplace: Cincinnati, Ohio
Cause Of Death:      Prematurity
Hospital:            No. Bethesda Hospital St. Ward
SS Number:           Unavailable
Occupation:          Unavailable
Funeral Home:        Geo. A. Wiltsee
Doctor:              Dr. Tilden J. Beck
Coroner:             Unavailable
Informant:           Mrs. W. W. Crothers, Jr. of Cincinnati, Ohio
Date Of Burial:      July 13, 1917
Place Of Burial:     Spring Grove Cemetery
Date Recorded:       July 13, 1917
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
Bureau of Vital Statistics
Certificate of Death
1. Place of Death
County: Hamilton Registration District No. 494 File No. 45868
Township: - Primary Registration District No. 8227 Registered No. 4132
or Village: - No. Bethesda Hospital St. Ward
or City of: Cincinnati
2. Full Name: Still borne
PERSONAL AND STATISTICAL PARTICULARS
3. Sex: Female 4. Color or Race: White 5. Single, Married, Widowed or
Divorced:Single
6. Date of Birth: July 12, 1917
7. Age: Still Borne years, - month, - days
8. Occupation of deceased: -
(a) Trade, profession, or particular kind of work: -
(b) General nature of Industry, business , or establishment in which employed
(or employeer): -
9. Birthplace: Cincinnati, Oh
10. Name of father: W. W. Crothers Jr.
11. Birthplace of father: Cincinnati, Ohio
12. Maiden Name of Mother: Ruth Perin
13. Birthplace of mother: Cincinnati, Ohio
14. Informant: W. W. Crothers Jr. 
(address) Cincinnati, Ohio
15. Filed: July 13, 1917 Registrar
MEDICAL CERTIFICATE OF DEATH
16. Date of death: July 12, 1917
17. I hereby certify, that I attended deceased from July 12, 1917 to Jluy 12, 1917
that I last saw her, alive on -, 
and that death occurred, on the date stated above, at - m.
The cause of death was as follows: 
Prematurity
(duration) ? years
contributory:
(duration) ? years
(Signed) Dr. Tilden J. Beck
July 13, 1917 (address) (unreadable)
18. Length of residence at place of death: 
In the state: 
Where was disease contracted, if not at place of death? 
Former or usual residence: 
19. Place of Burial or Removal: Spring Grove
Date of Burial: July 13, 1917
20. Undertaker: Geo. A. Wiltsee
Address: 24 W. 9th St.


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