Death 21 December 1954

Form of Information of a Death

Deceased

1. Christian names and surname Martha Ann Foster Born. Sanderson
2. Name of parent or guardian (if deceased was under the age of ten)
3. Sex Female
4. Age 79 years. 31/5/1876
5. Race White
6. Birthplace Unknown
7. Whether single, married, divorced, widower, or widow Widow
8. Occupation Home duties
9. Pensioner or dependent on pensioner General Post Office Windows Pension
10. Date of death Twenty first December 1954
11. Place of death "Pasadene", P.O. Faure
12. Usual place of residence "Pasadene", P.O. Faure
13. Intended place of burial Maitland Crematorium
14. Causes of death Congestive Cardiac Failure
15. Duration of disease or of last illness one year
16. Name of medical practitioner Dr. H. Ackert MB. ChB.

Informant

17. Original signature (or mark) JE Justes?
18. Qualification Causing burial
19. Residence 283 Lower Main Road Observatory

FamilySearch South Africa, Cape Province, Civil Deaths, 1840-1972