Death Certificate Extract

submitted by: Audrey McGlynn May 11, 2000, reformatted April 2003
Relationship, if any to deceased:

Source: Registration District No. 494 File No. 66163 / Primary Registration District No. 8227 Registered No. 6723 City of Cincinnati

Name: Helena Derfus
Sex: Female
Race: White
Date of Death: Dec 25 1912 at 5:15 P.M.
Age: 72 years 2 months 10 days
County of Death: Hamilton
City, Village or Location of Death: City of Cincinnati
Hospital or Other Institution:
Date of Birth: October 15 1840
Place of Birth: Germany
Citizen of What Country:
Origin or Descent:
Social Security Number:
Was Deceased Ever In US Armed Forces:
Marital Status: Married
Name of spouse:
Usual Occupation: House Wife
Kind Of Business or Industry:
Residence - State:
County:
City, Village or Location:
Street: No. 213 Peeto St.
Father Name: Valantine Becker
Father Birthplace: Germany
Mother Maiden Name: Fredericka Herancourt
Mother Birthplace: Germany
Informant - Name: John Derfus
Mailing Address: 213 Peete St.
Death was caused by: Cerrbral hemorhage
Burial, Cremation, other:
Date: Dec 28 1912 PM
Name of Cemetery or Crematory: Carthage Road Cemetery
Location:
Funeral Firm and Address: Joseph Schriber & Son 1910 Race St

Other information from submitter: Filed Dec 27 1912 / Registrar E Walter Ev_____Signed Oliver P. Coe Coroner / Dec 27 1912 by C Stagnaw