Female Death Registration: Year: 1970 number: 1539
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001539
1. PLACE OF DEATH County of Halifax If in City or Town Little Harbour
If death occured in a hospital or institution Swansburgs Nursing Home
3. PRINT NAME OF DECEASED Gardiner, Mysie Maud
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 25, 1886
10. AGE in Years83 Months8 Days2 | hrs or mins
11. Trade or profession housewife
12. Kind of industry
13. Date last worked 1969 14. Total years
15. If married name of spouse Douglas Gardiner
16. NAME of Father Joseph Swaine
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Carolyn Swaine
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mary E. Swaine
address 95 Jamaica St., Jamaica Plains, Mass
Relationship to deceased niece
21. Place of burial Cape Negro
Date of burial January 30, 1970
22. Undertaker Huskilson's Funeral Home, Shelburne
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 27, 1970
CAUSE OF DEATH
(a) arteriosclerosis heart disease
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486853
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