Hillbillies & Vikings

This site is focused broadly on all descendants of John Denboe, an indentured servant who came to the Crown Colony of Maryland in about the year 1664. Also, it maintains a special emphasis on the descendants of John Denbow (1797-1862) and his brother Bazeleel (1795-1857), early pioneers in the hills of Southeastern Ohio, as well as the descendants of Jón Jónsson (1841-1934) of Dalasýsla, Iceland, who was an Icelandic immigrant to Canada and now has progeny throughout North America.

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Amended Certificate of Death, Ohio Department of Health,  Division of Vital Statistics, Reg. Dist. No. 62, Primary Reg. Dist. No. 6201, Registrar's No. 146. 

1. Place of Death: a. County, Ottawa, b. City, Port Clinton, c. Length of stay in 1a., 82 years, d. Name of hospital, Magruder Hospital, d. Place of death inside city limits?, yes. 
2. Usual residence: a. State, Ohio, b. County, Ottawa, c. City, Port Clinton d. Street address, 317 Jackson Street e. Is residence inside city limits?, yes f. Is residence on a farm?, no 
3. Name of Deceased: Dorothea Marie Tadsen 
4. Date of Death: 1 November 1963 
5. Sex, Female 
6. Color, white 
7. Married 
8. Date of Birth, 20 September 1881 
9. Age in years lastbirthday, 82 
10.a. Usual occupation, Retired Housewife 
10.b. Kind of business or industry, Own home 
11. Birthplace, Ohio
12. Citizen of What Country, U.S. 
13. Father's Name, Lawrence Lorenzen 
14. Mother's Name, Kathryn Kruse
15. Was deceased ever in U.S. Armed Forces?, No
16. Social Security No., 295 01 5501 17. 

Informant's Name, Eunice Rader, Niles, Ohio
18. Cause of Death: Death was caused by Terminal Pneumonia (Interval between onset and death- 4 days) due to Uremia (interval between onset and death-1 week) due to Intertrochhanteric Fx Rt. Hip (Interval between onset and death-1 week) 
19. Was autopsy performed?, no 
20a. Accident 
20 b. Describe how injury occurred, fell at home (Residence) 
20c. Time of injury, 10:00 A.M., 25 October 1963
20d. Injury ocurred, Not while at work 
20e. Place of injury, Home 
20f. City, County, State; Port Clinton, Ottawa, Ohio 
21. I attended the deceased from 28 October 1963 to 1 November 1963 and last saw her alive on 1 November 1963. Death occurred at 7:40 A.M. 
22a. Signature, Kraft Ritter M.D. 
22b. Address, 232 E. 2nd St., Port Clinton, Ohio
22c. Date signed, 3 December 1963 
23a. Burial 
23b. Date, 4 November1963 
23c. Name of Cemetery, Lakeview Cemetery 
23d. Location, Port Clinton, Ohio 
24. Name of Embalmer, Richard O. Wolf (Lic. No. 4960A)
25. Funeral Director's Signature, Richard O. Wolf (Lic. No. 3735) 
26. Funeral Firm and Address, Gerner and Wolf, 216 Washington St., Port Clinton, Ohio 
27. Date Rec'd by Local Reg., 5 December 1963 
28. Registrar's Signature, Gaile Stevens 
29. Date Rec'd by Sub-Registrar, blank 
30. Sub-registrar's Signature, blank.

Dorothea Marie Lorenzen DC (1963)

Caption Note: Death Certificate Dorothea Marie Lorenzen
Keywords: Document

File name	Dorothea Marie Lorenzen DC (1963).txt
File Size	2.33k
Linked to	Dorothea Marie Lorenzen (Death); Dorothea Marie Lorenzen (95580)

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