1 Place of Death

County:  Clark

Township:  Butler

Village: 

City: 

STATE OF WISCONSIN

Department of Health - Bureau of Vital Statistics

Original Certificate of Death

                                                Registered No: 

2 FULL NAME:  Frank Winterer

Personal and Statistical Particulars

Medical Certificate of Death

3 Sex

M

4 Color

W

5 S/M/W/D

Married

16 Date of Death (M/D/Y)

August 14, 1940

6 Date of Birth (M/D/Y)

April 7, 1869

17 I HERBY CERTIFY, That I attended deceased from

March 10, 1939 to Aug 14, 1940

that I saw him     alive  on Aug 14, 1940

and that death occurred on the date above, at 9:40 PM

The cause of death was as follows:

Carcinoma of bladder (urinary)

Duration 1 yr 6 mos

Signed:  F. P. Neis

Date: Aug 15, 1940  Thorp, Wisc.

7 Age (Yrs/Mos/Ds/Hrs/Min)

71/4/15

8 Occupation

Farming

9 Birthplace

Hillsboro, Wisc.

10 Name of Father

Anthony Winterer

11 Birthplace of Father

Germany

18 Length of Residence (Hospitals, etc.)

12 Maiden Name of Mother

Barbra Hirsch

13 Birthplace of Mother

Germany

14 The above is true to the best of my knowledge

Informant:  Ingwals Ondal

Address:  Butlerville, Wisc.

19 Place of burial or removal

Butler Cemetery

Date

Aug 17, 1940

15  File date - Registrar

Sept 5, 1940               E. J. Gree

20 Undertaker

J. D. Bogumil

Address

Thorp, Wisc.