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Nicholas Gary Klassen

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Nicholas Gary Klassen

Birth
Amherst, Lorain County, Ohio, USA
Death
28 Jan 1959 (aged 68)
Lorain County, Ohio, USA
Burial
Amherst, Lorain County, Ohio, USA Add to Map
Memorial ID
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Nicholas Gary Klassen was born in North Amherst (now Amherst), Lorain Co., OH.

He was the son of Gerhart Klassen and Margaret Galmas.

He married Augusta Cahl in 1915.

Nicholas was buried 31 Jan 1959.

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Vital Records - Death Certificate - OH Dep't. of Health - Columbus, Franklin Co., OH - Nicholas Gary Klassen

Ohio Department Of Health
Division of Vital Statistics
Certificate of Death

Reg. Dist. No. 47 State File No. 004778
Primary Reg. Dist. No. 4700 Registrar's No. LC-39

Place Of Death: Usual Residence Of Deceased:
County: Lorain State: Ohio County: Lorain
City: Henrietta Township City: Elyria
Length of Stay in City: 0 days Street: 250 Harrison Street
Hospital or institution: Becker Road - R.D. #2 Is Residence Inside City Limits: Yes
Is Place of death Inside City Limits? No Residence On a Farm: No

Name of Deceased: Nicholas Gary Klassen Date of Death: Jan. 28, 1959
Sex: Male Color or Race: White Date of Birth: 11/2/90
Single, widowed, married or divorced: Age: (in year last birthday) 68
Married
Occupation: Machinist Kind of Business or Industry: Factory
Birthplace: Amherst, Ohio Citizen of What Country: U.S.A.
Father's Name: Jess Cassidy Mother's Maiden Name: Pearl Kelley
Was Deceased Ever in U. S. Armed Forces? Social Security No.: 301-18-9046
No Informant's Signature: Anna Klassen, Elyria, O.

CAUSE OF DEATH: Interval Between Onset & Death:
Death caused by: Chronic Myocarditis 1956
Due to: Arteriosclerosis Heart Disease 1956
Other Conditions: Was autopsy performed: No
Accident, Suicide, Homicide: Describe How Injury Occurred:

Time of Injury: Hour: Month: Day: Year:
Injury Occurred: While at Work? Place of Injury:
Not While at Work? City: County: State:

I attended the deceased from 4/21/58 to 6/28/59 and last saw him alive on 1/28/59. Death occurred at 1:30 p.m. on the date stated above and to the best of my knowledge, from the causes stated.
Signature: Stanley Birkbeck, M. D. Address: Elyria, Ohio
Date Signed: 1/29/59
Burial, Cremation? Burial Date: 1/31/59
Name of Cemetery or Cremation: Crownhill Cem. Location: Amherst, Ohio
Name of Embalmer: Ernest W. Scheuffler License No.: 5528
Funeral Director's Signature: Curtis License No.: 2357
Funeral Firm and Address: Sudro-Curtis Funeral Home 114 Second Street Elyria, Ohio
Date Rec'd. by Local Reg.: 1/30/59 Registrar's Signature: Kathleen E. Grubic
Sub-Registrar's Signature: Wayne Garland - Amherst, O. 1/29/59
Nicholas Gary Klassen was born in North Amherst (now Amherst), Lorain Co., OH.

He was the son of Gerhart Klassen and Margaret Galmas.

He married Augusta Cahl in 1915.

Nicholas was buried 31 Jan 1959.

#*#*#*#*#*#*#*#*#*#*#*#*#*#*#*

Vital Records - Death Certificate - OH Dep't. of Health - Columbus, Franklin Co., OH - Nicholas Gary Klassen

Ohio Department Of Health
Division of Vital Statistics
Certificate of Death

Reg. Dist. No. 47 State File No. 004778
Primary Reg. Dist. No. 4700 Registrar's No. LC-39

Place Of Death: Usual Residence Of Deceased:
County: Lorain State: Ohio County: Lorain
City: Henrietta Township City: Elyria
Length of Stay in City: 0 days Street: 250 Harrison Street
Hospital or institution: Becker Road - R.D. #2 Is Residence Inside City Limits: Yes
Is Place of death Inside City Limits? No Residence On a Farm: No

Name of Deceased: Nicholas Gary Klassen Date of Death: Jan. 28, 1959
Sex: Male Color or Race: White Date of Birth: 11/2/90
Single, widowed, married or divorced: Age: (in year last birthday) 68
Married
Occupation: Machinist Kind of Business or Industry: Factory
Birthplace: Amherst, Ohio Citizen of What Country: U.S.A.
Father's Name: Jess Cassidy Mother's Maiden Name: Pearl Kelley
Was Deceased Ever in U. S. Armed Forces? Social Security No.: 301-18-9046
No Informant's Signature: Anna Klassen, Elyria, O.

CAUSE OF DEATH: Interval Between Onset & Death:
Death caused by: Chronic Myocarditis 1956
Due to: Arteriosclerosis Heart Disease 1956
Other Conditions: Was autopsy performed: No
Accident, Suicide, Homicide: Describe How Injury Occurred:

Time of Injury: Hour: Month: Day: Year:
Injury Occurred: While at Work? Place of Injury:
Not While at Work? City: County: State:

I attended the deceased from 4/21/58 to 6/28/59 and last saw him alive on 1/28/59. Death occurred at 1:30 p.m. on the date stated above and to the best of my knowledge, from the causes stated.
Signature: Stanley Birkbeck, M. D. Address: Elyria, Ohio
Date Signed: 1/29/59
Burial, Cremation? Burial Date: 1/31/59
Name of Cemetery or Cremation: Crownhill Cem. Location: Amherst, Ohio
Name of Embalmer: Ernest W. Scheuffler License No.: 5528
Funeral Director's Signature: Curtis License No.: 2357
Funeral Firm and Address: Sudro-Curtis Funeral Home 114 Second Street Elyria, Ohio
Date Rec'd. by Local Reg.: 1/30/59 Registrar's Signature: Kathleen E. Grubic
Sub-Registrar's Signature: Wayne Garland - Amherst, O. 1/29/59


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