Female Death Registration: Year: 1970 number: 2634
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002634
1. PLACE OF DEATH County of Hants If in City or Town Vaughan
3. PRINT NAME OF DECEASED Church, Katherine Elizabeth
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Windsor
9. DATE OF BIRTH 6 8, 1930
10. AGE in Years39 Months9 Days28 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping.
13. Date last worked 1970 14. Total years 20
15. If married name of spouse
16. NAME of Father Arthur Church
17. BIRTHPLACE Chester
18. NAME of Mother Nina Rafuse
19. BIRTHPLACE Windsor
20. Signature of Informant John Redden.
address West Gore, Hants Co.
Relationship to deceased Friend.
21. Place of burial New Ross.
Date of burial April 9, 1970
22. Undertaker R.D Lindsay, Winsor.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 5, 1970
CAUSE OF DEATH
(a) Drowning.
(b) Motor Vehicle - into Lake
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487946
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