STATE OF ILLINOIS
HENRY HORNER, Governor
Department of public Health - Division of Vital Statistics
Registered No. 819

1.  Place of Death - County of St. Clair, East St. Louis, primary Dist. No.
3647, Chrsitan Welfare Hospital

Length of time at place where death occurred: 4 years

Place of residence:
STATE:  Illinois
COUNTY:  St. Clair
CITY OR VILLAGE:  East St. Louis
STREET AND NUMBER:  4014 Donavan

2.  Full Name:  John H. Kraper
3.  Sex:  Male
4.  Color or Race:  White
5.  Widowed, name of spouse:  Amelia (Horntrop Kraper)
6.  Date of Birth:  March 2, 1857
7.  Age:  81 years, 8 months, 22 days
8.  Trade or Occupation:  Farmer
9.  Industry or Business: ---
10.  Date deceased last worked:  1928
11.  ---
12.  Birthplace:  Metropolis, Ill.
13.  Father's Name:  Henry Kraper
14.  Father's Birthplace:  Unknown (Friedewalde, Prussia, Germany)
15.  Mother's Maiden Name:  Unknown (Charlotte Baade)
16.  Birthplace:  Unknown (Hanover, Germany)
17.  Informant:  W. E. Putnam, East. St. Louis, Ill.
18.  Place of Burial:  St. John's Evangelical Cemetery
19.  Date:  Nov. 27, 1938, Metroplis, Massac, Illinoi
20.  Undertaker:  Kurrus Undertaking Co., E. St. Louis
(Has the decedent ever served in military or naval services of U. S? No)
21.  Date of Death:  Nov. 24, 1938
22.  I HEREBY CERTIFY, That I attended deceased from Jan. 1, 1938 to Nov. 24,
1938.  I last saw him alive on 11-24, 1938; death is said to have occurred on
the date listed above, at 5:45 P.M.  The principal cause of death and related
causes of importance were as follows:

Myocarditis, other contributory causes of Importance, Diabetis Mellitus

23.  Was an operation performed?  No  Was there an autopsy?  No
What test confirmed diagnosis:  Physical Findings
24.  If a communicable disease; where contracted?  Not communicable; Was the
disease related to occupation of deceased?  No

Signed:  B. E. Ellis, M. D.
East St. Louis, Ill.
Date:  11-25-1938
Telephone E 381

Filed Nov. 25, 1938
R. C. Tarrier? M. D., Register
East St. Louis, Ill.