Female Death Registration: Year: 1970 number: 2239
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002239
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
3. PRINT NAME OF DECEASED Sampson, Helen
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 19, 1922
10. AGE in Years47 Months4 Days7 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Edgar
16. NAME of Father Percy Hines
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Kathleen Mason
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Edgar Sampson
address 16 Glebe Avenue, Sydney
Relationship to deceased Husband
21. Place of burial Maplewood Cemetery Windsor
Date of burial March 2, 1970
22. Undertaker T. W. Curry, Limited, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 27, 1970
CAUSE OF DEATH
(a) Left Breast Carcinoma
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487552
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