<hr><hr><hr><hr><center> CERTIFICATE OF DEATH</center><hr><hr><hr><hr> 
Place of Death<p>
Jefferson County <p>
Brookville  <hr>
Full Name <p>
Christiann Brosius <hr>
Sex <p>
F <hr> 
Married <p>
Yes<hr> 
Date of Birth <p>
December 28 1824 <hr>
Age <p> 
90 years 5 months 23 days <hr>
Birth Place <p> 
Maytown Lancaster County <p>
Pennsylvania <hr>
Name of Father <p>
Fredrick Shoemaker <hr>
Birth Place of Father <p>
Pennsylvania <hr>
Maiden Name of Mother <p>
Fogler <hr>
Birth Place of Mother <p>
Germany <hr>
Informant <p>
J. M. Brosius <hr>
Address<P>
Brookville Pa<hr>
Date of Death <p>
June 21 1915<hr> 
Signed <p>
A. F. Balwers [?] M. D.<hr>
Place of Burial<P>
Ohl Cemetery <p>
Date June 23 1915 <hr> 
Undertaker<P>
Rufus G. Reitz<P>
Brookville Pa
<hr><hr><hr><hr>
<hr>To request forms for Death Certificates<hr>Write<hr><hr>Pennsylvania Department of Health<P>Division of Vital Records<P>P.O. Box 1528<P>New Castle Pennsylvania 16103-1528<hr> 
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