No. 464
1. Name of Deceased in full: Joseph Gainoski
2. Sex: M Color: W
3. Place of Birth: Germany Father's Birth: Germany Mother's Birth: Germany
4. Age: about 64 years -- months -- days
5. Lived in Illinois: 21 years, in Chicago 21 years
6. Died on the 8 day of January 1909, at about __M.
7. Married Occupation: Laborer
8. Place of Death: Trimming Room, Mince Meat Dept., Morris Co.
9. Place of Usual Residence: 5140 W. 49th St. [error, see below]
10. Place of Burial: St. Maria Date of Burial: January 10, 1909 Hour _M
11. Undertaker: Leo Scharf Address: 5001 Ashland Ave. License No. 204
Cause of Death: From Organic Heart Disease
I hearby certify, that the above stated personal particulars are true to the best of my knowledge and belief, and that the cause of death of the above named and described deceased was as above written by me.
Witness my hand, This 8 day of January 1909
Peter M. Hoffman
Coroner of Coroner's Physicians
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