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 | Kristian Magnus Reime Nilsen (1868-1931) - Certificate of Death (Pennsylvania, U.S., Death Certificates, 1906-1967)
Certificate of Death
1) Place of Death: County of Allegheny, Township of South Fayette twp.
2) Full Name: Christian Nelson
a) Residence no. 1002 Morrison ave
3) Sex: Male
4) Color or Race: White
5) Marital status: Single
7) Age: 58
8) Occupation of deceased: Engineer
9) Birthplace: South Africa
Parents
10) Name of Father Peter
11) Birthplace of father: Norway
12) Maiden name of Mother: Reine
13) Birthplace of Mother: Norway
14) Informant: James Hammers, Mayview, PA. Director and Superintendent
15) Filled May 11th 1931, C.F. Marshall Oakdale, PA.
16) Date of death: May 9th 1931
17) I hereby certify, That I attended deceased from 1-22-1931 to 5-9-1931, that I last saw him alive on 5-9-1931 and that death occurred, on the date stated above at 12:55 a.m
The Cause of Death was as follows: Chronic Myocarditis
19) Place of Burial, Cremation or Removal: Anatomical Board
Date of Burial: 5-11-1931
20) Untertaker: John A. Freyvogel |
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