Citation
  • "Certificate of Death: Fred Loebach".
Data
  • Category: Original
Detail
  • Submitter: William D. Forsythe
  • Submission Date: 1999
Photos
Al Loebach, Death Certificate, May 24, 1979
Content
  • Text: Certificate of Death

    1. Place of Death - County: Tarrant, City: Richland Hills, Name of Hospital or Institution: 7616 Richald Road [at home]. Length of Stay: 1 year. Is place of Death Inside City Limits: Yes
    2. Usual Residence - State: Texas, County: Tarrant, City: Richland Hills, Address: 7616 Richalnd Road, Is residence inside city limits: Yes, Is Residence on a farm: No.
    3. Name of Deceased - Fredrick Albert Loebach
    4. Date of Death: 19 May 1979
    5. Sex: Male
    6. Color: White
    7. Married
    8. Date of Birth: 14 May 1891
    9. Age: 88
    10. Usual Occupation: Butcher, Industry: Meat Cutting
    11. Birthplace: Dwight, Illinois
    12. Citizen of What County: USA
    13. Father's Name: Frank Joseph Loebach
    14. Mother's Maiden Name: Catherine Brochett
    15. Was deceased ever in the armed forces: Yes, WW1
    16: SSN: 356-14-5465
    17. Informant: Mrs. Doris Forsythe (daughter)
    18. Immediate Cause: Pulmonary Insufficiency due to Metastatic ca prostate, Interval between ...: 2 days +/-. Other significant conditions contributing to death but not related to the terminal disease condition given in part: Canintma? of prostate, Large decubitus ulcers.
    19. Was autopsy performed: No.
    20. [blank]
    21. I herby certify that I attended the deceased from 2-28 1978 to 5-19 1979 and last saw the deceased alive on 5-17 1979. Death occured at 6:45 a on the date stated above ...
    22. C H Dooley MD, 7601 Glenview Dr, Fort Worth, Tx, Date signed: May 21, 1979.
    23. Removal date: 20 May 1979, Name of Cemetery: Sait Joseph Cemetery, Location: River Grover, Cook County, Illinois.
    24. Funeral Director's signature: Billy W. Moon #6888 Lucas Funeral Homes.
    25. Registrants File No. 154, Date received by local registrar: May 22, 1979, Registrar: Geraldine R. Harris."
Personal Names
PersonClaimDetailEvidence
Maria Katharina BroscheidNameCatherine Brochett [S5]
primary
Frank Joseph LoebachNameFrank Joseph Loebach [S5] [S768] [S784] [S1504] [S2963]
primary
Frederick Albert LoebachNameFredrick Albert Loebach [S5] [S10]
primary
Relationships
PersonClaimDetailEvidence
Doris Marie LoebachFatherFrederick Albert Loebach (1891-1979) [S2] [S5] [S6:118] [S428] [S2875] [S2876]
dna
Frederick Albert LoebachFatherFrank Joseph Loebach (1856-1924) [S5] [S417] [S496] [S768] [S1036]
dna
Frederick Albert LoebachMotherMaria Katharina Broscheid (~1855-1941) [S5] [S417] [S496] [S768] [S1036]
dna
Events & Attributes
PersonClaimDateDetailAgeEvidence
Frederick Albert LoebachBirthMay 14, 1891Dwight, Livingston, Illinois, United States [S5] [S9] [S428] [S769] [S1036] [S1067] [S1790] [S1921] [S2870] [S2956]
primary
Frederick Albert LoebachMovedabt 19787616 Richland Rd. in Richland Hills, Tarrant, Texas, United States [S5]
primary
Frederick Albert LoebachDeathMay 19, 19797616 Richland Rd. in Richland Hills, Tarrant, Texas, United States [S5] [S10] [S769] [S817] [S2915:51]
pulmonary insufficiency due to metastatic prostate
88y
primary
Frederick Albert LoebachOccupationbutcher [S5] [S1067]
primary
Frederick Albert LoebachSocial Security Number356-14-5465 [S5]
primary
Frederick Albert LoebachBurialSt. Joseph Cemetery, River Grover, Cook, Illinois, United States [S5] [S817]
primary