______________________________________________________________________STATE OF OHIO - BUREAU OF VITAL STATISTICS - CERTIFICATE OF DEATH
PLACE OF DEATH.
County of Jefferson
Township of Island Creek....
File No. 50481....
FULL NAME Hannah Elizabeth Hendricks
PERSONAL AND STATISTICAL PARTICULARS
COLOR OR RACE White
DATE OF BIRTH Feb 13 1875
AGE 35 years 6 months 20 days
SINGLE, MARRIED.... Married
NAME OF FATHER Henry Meinzen
BIRTHPLACE OF FATHER Germany
MAIDEN NAME OF MOTHER Elizabeth Armitage
BIRTHPLACE OF MOTHER England
THE ABOVE STATED PERSONAL PARTICULARS ARE TRUE...
(Informant) Harrison Hendricks [signature]
(Address) Island Creek Township
Filed Sept 5 1910
W. S. McCansley Registrar.
MEDICAL CERTIFICATE OF DEATH
DATE OF DEATH Sept 4 1910
I HEREBY CERTIFY, That I attended deceased from Aug 21 1910 to Sept 3 1910 that I last saw her alive on Sept 2 1910 and that death occurred, on the date stated above, at 1155 P.M. The CAUSE OF DEATH was as follows:
Peritonitis due to frequent child bearing (Duration) 7 Days
Contributory Embolism (Duration) 1 Days
(Signed) N. S. Donehoo M. D.
Sept. 4 1910 (Address) Steubenville, O.....
PLACE OF BURIAL OR REMOVAL Union Cem.
DATE OF BURIAL Sept 6 1910
UNDERTAKER B. H. Mettenberger
ADDRESS Steubenville, O.
______________________________________________________________________Notes and Comments
Click on the links for more information about peritonitis and embolism, Hannah's causes of death.
Hannah had given birth to three daughters, the first in January, 1908; the second in May, 1909; and the third on August 21, 1910.