Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Elma Burgess death at Truro, Colchester County on January 11, 1970
Female Death Registration: Year: 1970 number: 1240
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001240
1. PLACE OF DEATH County of Colchester If in City or Town Truro
3. PRINT NAME OF DECEASED Burgess, Mary Elma
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 31, 1892
10. AGE in Years77 Months2 Days11 | hrs or mins
11. Trade or profession House-wife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Isiah Burgess
16. NAME of Father William Tays
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie MacHeffey
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Isiah Burgess per Jag?
address Shubenacadie
Relationship to deceased Husband
21. Place of burial Gays River
Date of burial 14 Jan 70
22. Undertaker Ettinger Funeral Service Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 11, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other Senile Dementia
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