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Anna Nilsen (1871-1925) - Death Certificate (South Africa, Natal Province, Civil Deaths, 1863-1955) Form of Information of a Death
Deceased – Overledene
1) Christian Names and Surname: Anna Nilsen
2) Name of Parent or Guardian: -
3) Sex: Female
4) Age: 54 Years
5) Race: European
6) Birthplace: Zululand
7) Whether Single, Married, Divorced, Widower, or Widow: Spinster
8) Occupation: Household Duties
9) Industry: -
10) Pensioner or Dependent on Pensioner: No
11) Date of Death: Fifth Day of June 1925
12) Place of Death: Ridge Road District of Durban Natal
13) Usual Place of Residence: Ridge Road District of Durban
14) Intended Place of Burial: Church of England Cemetery Durban
15) Causes of Death: Carcinoma of Ovaries, Exhaustion
16) Duration of Disease or of Last Illness: 1½ Years 1 Day
17) Name of Medical Practitioner: Dr. H. Mundry
Informant – Berichtgever
18) Original Signature (or Mark): Harold A. Adlem
19) Qualification: Person causing burial
20) Residence: 556 West Street Durban
22) Date: 6.6.1925 |
| 1. Kristian Magnus Reime Nilsen, f. 18 Jun 1868, Zululand, South Africa d. 9 Mai 1931, South Fayette, Allegheny, Pennsylvania, USA (Alder 62 år) | | 2. Nils Gustav Nilsen, f. 30 Jan 1870, Zululand, South Africa d. Før 1906 (Alder 35 år) | | 3. Anna Nilsen, f. 29 Aug 1871, Zululand, South Africa d. 5 Jun 1925, Durban, KwaZulu-Natal, South Africa (Alder 53 år) | + | 4. Paul Gerhard Nilsen, f. 12 Apr 1873, South Africa d. 23 Okt 1952, Eshowe Hospital, Eshowe, Natal, South Africa (Alder 79 år) ▻ Lucy Jane Tunnacliffe, g. 30 Sep 1904 | | 5. Alfred Nilsen, f. 28 Nov 1875, Eshowe, Zululand, South Africa d. 26 Des 1911, Overport, Durban, Natal, South Africa (Alder 36 år) | + | 6. Godtfred Martin Nilsen, f. Aug 1877, Nonoti, Stanger, KwaZulu-Natal, South Africa d. 26 Jun 1949, Mtunzini Hotel, Mtunzini, Natal, South Africa (Alder ~ 71 år) ▻ Mathilde Marie Borchsenius Benniche, g. 31 Okt 1908 ; Gertrude Ethel Mcmahon, g. 27 Jul 1918 | + | 7. Ragna Pauline Nilsen, f. 23 Mai 1879, Natal, South Africa d. 20 Jul 1969, Wankie Colliery Hospital, Hwange, Matabeleland North, Zimbabwe (Alder 90 år) ▻ Albert Kajus Backe-Hansen, g. 6 Nov 1909 | |