STATE OF CONNECTICUT BUREAU OF VITAL STATISTICS

MEDICAL CERTIFICATE OF DEATH

1. Full name of deceased: Fred A. Hahn

2. Primary cause of death: Chr. Nephritis

3. Duration: _________

4. Secondary or contributory: Uremia

5. Duration:4 days

Remarks: ______________________________________

I hereby state that I attended the deceased in his last illness and that the cause of death was as above stated.

Signature: James Thomson

Dated: Feb. 11, 1914.

Address: Bridgeport [Vet's?] Hospital

UNDERTAKER'S CERTIFICATE PERSONAL AND STATISTICAL.

1. Full name of deceased: Frederick A. Hahn

2. Place of death: Bpt. Hospital No. 557 Colonade Ave. 5 Ward.

3. Number of families in the house: ______

4. Residence at time of death: Bpt. Conn.

5. Occupation: Barber

5. Condition: Married

7. If wife or widow, give name of husband: ________________________

8. Date of death : year 1914, month Feb., day 11.

9. Date of birth: year 1860, month May, day 8.

10. Age: 53 years, 9 months, 3 days.

11. Sex: Male

12. Color: White

13. Birthplace--town: New Haven, Conn. State or country: ________

14. Father's name in full: George Hahn

15. Father's birthplace--town: Germany State or country: _________

16. Mother's maiden name: Doretta Reiger

17. Mother's birthplace--town Germany State or country: _________

18. Place of burial: St. Michael's. Cemetery: Bpt.

19. Name of informant: children Addresss: city

Was body embalmed? yes

If yes, name of embalmer

Signature of person in charge: [unreadable] ___________________________ License No. 708. Address: Bpt., CT

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Contributed by Gail Hahn Hutchcraft. Gail is seeking to compare notes with resesarchers working on the HAHN, LYON, O'ROURKE, MULLIGAN, REILLY and related families of Fairfield County, CT. Thank you for your contributions, Gail!