Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ada Lorine Perry death at Middleton, Annapolis County on February 12, 1970
Female Death Registration: Year: 1970 number: 1717
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001717
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldiers Memorial Hospital
3. PRINT NAME OF DECEASED Perry, Ada Lorine
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 12, 170
10. AGE in Years Months Days | 0 hrs or 20 mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Willard Leonard Perry
17. BIRTHPLACE New Brunswick
18. NAME of Mother Annie Laura Geddes
19. BIRTHPLACE Quebec
20. Signature of Informant Willard Perry
address 28 Greenwood Pines, Kings Co.
Relationship to deceased Father
21. Place of burial Kingston
Date of burial February 14, 1970
22. Undertaker Warren T. Roop Ltd., Middleton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 12, 1970
CAUSE OF DEATH
(a) premature birth
(b) antepartum
(c) placenta previa
other
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