Missouri State Archives:
Filed: July 21, 1941; Reg. Dist. No.: 701; Primary Reg. No.: 1003; State File No.: 19948; Registrar's No.: 4760; Place of Death: City or town: St. Louis; Length of stay: 1 week; Full Name of Hospital or Institution or Street Address: Lutheran Hospital; Usual Residence: St. Louis County, Missouri; City or Town: Pasadena Hills; Street Address: 3939 Canterbury Drive; Name of Deceased: Louisa Blombert; Date of Death: June 6, 1941, 11 p.m.; Sex: female; Color or Race: white; Married, Never Married, Widowed, Divorced: widowed; Date of Birth: August 14, 1870; Age: 70 years, 9 months, 22 days; Usual Occupation: housework; Kind of Business: home; Birthplace: St. Louis, Missouri; Father's Name: Herman Binder; born in Germany; Mother's Maiden name: Regina Brum; born in Germany; Name of Husband or Wife: Louis Blomberg; Was Deceased in Armed Forces?: no; Informant's Signature or Name: F. E. Blomberg; Address: 3939 Canterbury Drive, Pasadena, Missouri; Cause of Death: Disease or Condition: coronary disease; Interval Between Onset and Death: 3 years; Antecedent Causes: congestive heart failure; Interval Between Onset and Death: 2 years; Signature: Edward Burnot; Degree or Title: MD; Address: 1504 South Grant; Date Signed: June 5, 1941; Name of Cemetery or Crematory: Oak Grove Cemetery; Date Received by Local Reg.: June 9, 1941; Registrar's Signature: J. F. Bredeck; Funeral Director's Signature: Suedmeyer & Sons; Address: 3934 North 20th Street
Filed: July 21, 1941; Reg. Dist. No.: 701; Primary Reg. No.: 1003; State File No.: 19948; Registrar's No.: 4760; Place of Death: City or town: St. Louis; Length of stay: 1 week; Full Name of Hospital or Institution or Street Address: Lutheran Hospital; Usual Residence: St. Louis County, Missouri; City or Town: Pasadena Hills; Street Address: 3939 Canterbury Drive; Name of Deceased: Louisa Blombert; Date of Death: June 6, 1941, 11 p.m.; Sex: female; Color or Race: white; Married, Never Married, Widowed, Divorced: widowed; Date of Birth: August 14, 1870; Age: 70 years, 9 months, 22 days; Usual Occupation: housework; Kind of Business: home; Birthplace: St. Louis, Missouri; Father's Name: Herman Binder; born in Germany; Mother's Maiden name: Regina Brum; born in Germany; Name of Husband or Wife: Louis Blomberg; Was Deceased in Armed Forces?: no; Informant's Signature or Name: F. E. Blomberg; Address: 3939 Canterbury Drive, Pasadena, Missouri; Cause of Death: Disease or Condition: coronary disease; Interval Between Onset and Death: 3 years; Antecedent Causes: congestive heart failure; Interval Between Onset and Death: 2 years; Signature: Edward Burnot; Degree or Title: MD; Address: 1504 South Grant; Date Signed: June 5, 1941; Name of Cemetery or Crematory: Oak Grove Cemetery; Date Received by Local Reg.: June 9, 1941; Registrar's Signature: J. F. Bredeck; Funeral Director's Signature: Suedmeyer & Sons; Address: 3934 North 20th Street
Missouri State Archives:
Filed: July 21, 1941; Reg. Dist. No.: 701; Primary Reg. No.: 1003; State File No.: 19948; Registrar's No.: 4760; Place of Death: City or town: St. Louis; Length of stay: 1 week; Full Name of Hospital or Institution or Street Address: Lutheran Hospital; Usual Residence: St. Louis County, Missouri; City or Town: Pasadena Hills; Street Address: 3939 Canterbury Drive; Name of Deceased: Louisa Blombert; Date of Death: June 6, 1941, 11 p.m.; Sex: female; Color or Race: white; Married, Never Married, Widowed, Divorced: widowed; Date of Birth: August 14, 1870; Age: 70 years, 9 months, 22 days; Usual Occupation: housework; Kind of Business: home; Birthplace: St. Louis, Missouri; Father's Name: Herman Binder; born in Germany; Mother's Maiden name: Regina Brum; born in Germany; Name of Husband or Wife: Louis Blomberg; Was Deceased in Armed Forces?: no; Informant's Signature or Name: F. E. Blomberg; Address: 3939 Canterbury Drive, Pasadena, Missouri; Cause of Death: Disease or Condition: coronary disease; Interval Between Onset and Death: 3 years; Antecedent Causes: congestive heart failure; Interval Between Onset and Death: 2 years; Signature: Edward Burnot; Degree or Title: MD; Address: 1504 South Grant; Date Signed: June 5, 1941; Name of Cemetery or Crematory: Oak Grove Cemetery; Date Received by Local Reg.: June 9, 1941; Registrar's Signature: J. F. Bredeck; Funeral Director's Signature: Suedmeyer & Sons; Address: 3934 North 20th Street
Filed: July 21, 1941; Reg. Dist. No.: 701; Primary Reg. No.: 1003; State File No.: 19948; Registrar's No.: 4760; Place of Death: City or town: St. Louis; Length of stay: 1 week; Full Name of Hospital or Institution or Street Address: Lutheran Hospital; Usual Residence: St. Louis County, Missouri; City or Town: Pasadena Hills; Street Address: 3939 Canterbury Drive; Name of Deceased: Louisa Blombert; Date of Death: June 6, 1941, 11 p.m.; Sex: female; Color or Race: white; Married, Never Married, Widowed, Divorced: widowed; Date of Birth: August 14, 1870; Age: 70 years, 9 months, 22 days; Usual Occupation: housework; Kind of Business: home; Birthplace: St. Louis, Missouri; Father's Name: Herman Binder; born in Germany; Mother's Maiden name: Regina Brum; born in Germany; Name of Husband or Wife: Louis Blomberg; Was Deceased in Armed Forces?: no; Informant's Signature or Name: F. E. Blomberg; Address: 3939 Canterbury Drive, Pasadena, Missouri; Cause of Death: Disease or Condition: coronary disease; Interval Between Onset and Death: 3 years; Antecedent Causes: congestive heart failure; Interval Between Onset and Death: 2 years; Signature: Edward Burnot; Degree or Title: MD; Address: 1504 South Grant; Date Signed: June 5, 1941; Name of Cemetery or Crematory: Oak Grove Cemetery; Date Received by Local Reg.: June 9, 1941; Registrar's Signature: J. F. Bredeck; Funeral Director's Signature: Suedmeyer & Sons; Address: 3934 North 20th Street
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