Death Certificate for Jacob Meinzen

Jacob Meinzen is my grandfather's, William Carl Robert Meinzen's, next youngest brother.

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BUREAU OF VITAL STATISTICS, CERTIFICATE OF DEATH
PLACE OF DEATH
County of Jefferson.... File No. 59279....
City of Steubenville
2 FULL NAME Jacob Meinzen

PERSONAL AND STATISTICAL PARTICULARS
3 SEX M
4 COLOR OR RACE W
5 SINGLE MARRIED WIDOWDED OR DIVORCED Married
6 DATE OF BIRTH Sep 15 1893
7 AGE 23 yrs. 8 mos. ---days
8 OCCUPATION Millworker
9 BIRTHPLACE Ohio
10 NAME OF FATHER Henry Meinzen
11 BIRTHPLACE OF FATHER Germany
12 MAIDEN NAME OF MOTHER Elizabeth Armitage
13 BIRTHPLACE OF MOTHER England
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant) Mrs. Sudie Meinzen [signature]
(Address) 312 S L E Ave
15 Filed 9/14 1917 F A Huntsman [signature] Registrar

MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH Sept 12, 1917
17 ... The CAUSE OF DEATH was as follows: Fall off ladder at blush furnace at La Bell I Wrks
(Signed) Dr. Curtis Langhem [signature], M. D.
Sept. 14, 1917 (Address) Steubenville O
18 [blank]
19 PLACE OF BURIAL OR REMOVAL Union Cemetery
DATE OF BURIAL Sept 15, 1917
20 UNDERTAKER James A. Lindsey
ADDRESS Steubenville O.

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