Nicholas Conrad Death Certificate (1942)

CONRAD, Nicholas: Death Certificate 1942

Transcribed from a photocopy obtained from the Pennsylvania Division of Vital Records.

Commonwealth of Pennsylvania
Department of Health
Bureau of Vital Statistics
Certficate of Death

1. Place of Death
County: Philadelphia
City: Phila.
Name of Hospital: Protestant Episcopal Hosp.

2. Usual Residence of Deceased
State: Pa.
County: Phila.
City: Philadelphia
Street No. 2069 E. Clarence St.

3. Full Name: Nicholas Conrad
4. Sex: M
5. Color or Race: W
6. Widowed
Wife: Sophia Conrad
7. Birth date of deceased: Feb. 22, 1867
8. Age: 75 yrs, 8 Months, 24 Days
9. Birthplace: Phila.
10. Usual Occupation: Warper
11. Industry or Business: Textile
12. Father Name: Nicholas Conrad
13. Father Birthplace: Unknown
14. Mother Name: Unknown
15. Mother Birthplace: Unknown
16. Informant’s own signature: [signed] Edward C. Conrad
Address: 2069 E. Clarence St. Phila. Pa.
17: Burial, Date: Nov. 20, 1942, Place: Northwood, Phila. Co.
18. Signature of funeral director: [signed] John N. Hackman
Address: 905-07 W. Lehigh ave. Hackman Bros., Inc.
19. Date received: Nov. 20, 1942
20: Date of Death: Nov. 16, 1942, 7:00 P.M.

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