Wagers

Death Certificate - Joseph Bloemer (1912)

Title
Death Certificate - Joseph Bloemer (1912)
Repository
Illinois Regoinal Archives Depository - Eastern Illinois University
Text

CERTIFICATE AND RECORD OF DEATH OF

  1. Full Name: Joseph Bloemer
  2. (a) Sex: Male (b) Color: White (c) Single Married Widowed Divorced: Married
  3. (a) Birthplace: Germany (b) Date of Birth:
  4. Age 78 Years - Month - Days __ Hours (If less than One Day old)
  5. Died on the 8 Day of Feb 1912 at about 5 AM
  6. Last Occupation: Farmer (Profession, Trade or Kind of Industry or Business)
  7. { From Year __ To Year __
    Previous Occupation (if any) __
    From __ To __
  8. Place of Death: Effingham (Township, Village or City) County of Effingham
    ** Second Column **
    Registered No. __
    Effingham County
  9. How long in State: 40 Years
  10. How long in U.S. if Foreign born __
  11. { (a) Name of Father __
    (b) Birthplace of Father __
  12. { (a) Maiden Name of Mother __
    (b) Birthplace of Mother __
    The foregoing stated personal particulars are true to the best of my knowledge and belief
  13. Informant __
    Address __
    ** Only one column now **
  14. Place of Burial St. anthonys cem
Media object
Joseph Bloemer (1834) Death Certificate
Joseph Bloemer (1834) Death Certificate
Last change
July 20, 2020 – 08:17:03
Author of last change: nwagers
Unique identifier
24B69897C211467187B0F8ADC8B200341D10
Given names Surname Sosa Birth Place Death Age Place Last change
Joseph Bloemer
May 10, 1834
188 Germany
8 February 8, 1912
110 77 Effingham, IL, US
Sunday, November 30, 2014 5:44 AM
Given names Surname Age Given names Surname Age Marriage Place Last change
Media Title Individuals Families Sources Last change
Title Individuals Families Media objects Sources Last change