To me, it looks like it says - "Cincinnati, at 5th ______e(or l) , 1916."
Google maps shows the cross-streets for W. 5th St. in downtown Cincinnati to be (from west to east): Central Ave., Elm St., Race St., Vine St., Walnut St., Main St., Sycamore St., and Broadway St.
So I would guess that could narrow it down to either Central, Race, Vine, or Sycamore Streets.
Hope that this helps!
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