Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Susie Marguerite Coffin death at Halifax, Halifax County on April 13, 1970
Female Death Registration: Year: 1970 number: 2712
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002712
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Keddy Nursing Manor
3. PRINT NAME OF DECEASED Coffin, Susie Marguerite
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Pictou
9. DATE OF BIRTH 8 20, 1879
10. AGE in Years90 Months7 Days24 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Houseduties
13. Date last worked 1965 14. Total years Life
15. If married name of spouse Ernest W. Coffin
16. NAME of Father Arthur C. Baillie
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jane Wilson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Edwin L. Coffin
address 1506 Muirfield Ave., Waukegan, Ill.
Relationship to deceased Son
21. Place of burial Fernhill Crematorium, St. John, New Brunswick
Date of burial April 14, 1970
22. Undertaker Cruickshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 13, 1970
CAUSE OF DEATH
(a) Arterio Sclerosis
(b)
(c)
other
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