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Death Certificate: Wilson Charles Breitwieser

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Case File: Charles Albert Breitwieser (1907)

  1. Place of Death: 1236 E 113, Cleveland, Cuyahoga, District No 8116, File No 20827, Registered No 3468
  2. Full Name: Wilson Breitweser, Residence 1236 E 113 St, 25th Ward.
  3. Sex: Male
  4. Color or Race: White
  5. Marital Status: Single
  6. Date of Birth: May 26, 1900
  7. Age: 20 years, 11 months, 1 day
  8. Occupation: Machinist, machine shop, employer “not known”
  9. Birthplace: Cleveland, Ohio
  10. Name of Father: Charles Breitweser
  11. Birthplace of Father: Pa
  12. Maiden Name of Mother: Mayme Kipp
  13. Birthplace of Mother: Ohio
  14. Informant: Robert H. Tythall, 1236 E 113th St
  15. Filed: Apr 29
  16. Date of Death: Apr 27 1921
  17.  I hereby certify that I attended decased from Jan 4th 1921 to Apr 27 1921 that I last saw him alive on Apr 27 1921 and that death occurred, on the date stated above at 11 a m. The cause of death was as follows: aortic insufficiency – duration 5 years. Contributory: Acute endocarditis – duration 5 days.
  18. Did an operation precede death?  No.  Was there an autopsy?  No.  Signed Joseph Ralston 4-28-1921, 5012 Euclid Ave.
  19. Place of Burial: Lake View – April 30, 1921
  20. Undertaker: illegible