| 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. |
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