Berta Olivia Nilsson (Death Certificate)

STATE OF ILLINOIS 
CERTIFICATE OF DEATH #630105 
NAME OF DECEASED: Bertha O. Christensen
PLACE OF DEATH:  Northwest Hospital
Chicago, Illinois
SEX: Female
RACE: White
MARITAL STATUS: Widowed
USUAL RESIDENCE:  4205 W. Fullerton Ave.
Chicago, Cook County, Illinois
USUAL OCCUPATION: Housewife
KIND OF BUSINESS: At Home
DATE OF BIRTH: February 22, 1893 [sic]
PLACE OF BIRTH: Sweden
AGE: 83 Years
FATHER'S NAME: (not available) Nelson
MOTHER'S MAIDEN NAME: Not available
INFORMANT:   Ruth Gabriel, daughter
321 W. Terra Cotta Ave.
Crystal Lake, Illinois
DATE OF DEATH: December 27, 1976
CAUSE OF DEATH:  Recurrent Cerebral Vascular Accident
CERTIFICATION:         I certify that in my opinion, based
upon my investigation and or the
inquisition, this death occurred on
the date, at the place and due to
the causes stated and that the
decedent was pronounced dead on
December 27, 1976 at 8:24 P.M.
PHYSICIAN: Helen Young, MD
PLACE OF BURIAL:  Mt. Olive Cemetery
Chicago, Illinois
DATE OF BURIAL: January 3, 1977
FUNERAL HOME:   John M. Pederson & Sons, Inc.
4338 Fullerton Ave.
Chicago, Illinois.

Related Biographies:

Berta Olivia Nilsson

Acknowledgements

Phillip Gowan

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Copyright © 1996-2019 Encyclopedia Titanica (www.encyclopedia-titanica.org) and third parties (ref: #21053, published 28 August 2003, generated 13th November 2019 01:55:13 PM)
URL : https://www.encyclopedia-titanica.org/death-certificate-21053-215.html