Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Tracy Mary Metz death at Springhill, Cumberland County on January 19, 1970
Female Death Registration: Year: 1970 number: 2123
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002123
1. PLACE OF DEATH County of Cumberland If in City or Town Springhill
If death occured in a hospital or institution All Saints Springhill Hopsital
3. PRINT NAME OF DECEASED Metz, Tracy Mary
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Ukrainian
7. Single, Married
single
8. BIRTHPLACE Springhill
9. DATE OF BIRTH 1 17, 1970
10. AGE in Years Months Days2 | hrs or mins
11. Trade or profession Infant
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Jerry Carvel Metz
17. BIRTHPLACE Springhill
18. NAME of Mother Brenda Carlene Goldrich
19. BIRTHPLACE Springhill
20. Signature of Informant Jerry Metz
address 135 Main St, Springhill
Relationship to deceased Father
21. Place of burial Springhill
Date of burial January 20th, 1970
22. Undertaker A.H. Brown Funeral Service Ltd., Springhill
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 19, 1970
CAUSE OF DEATH
(a) Cerebral Anoxia
(b) Placental Insufficiency
(c)
other
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