Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Theresa Violet Shupe death at Halifax, Halifax County on March 19, 1970
Female Death Registration: Year: 1970 number: 2956
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002956
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Shupe, Theresa Violet
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Martin's Point
9. DATE OF BIRTH 4 14, 1881
10. AGE in Years88 Months11 Days5 | hrs or mins
11. Trade or profession House Wife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Simeon Hiltz
17. BIRTHPLACE Martin's Point
18. NAME of Mother Eliza Langille
19. BIRTHPLACE Martin's River
20. Signature of Informant Donald W. Shupe
address Martin's Point
Relationship to deceased Son.
21. Place of burial Martin's Point
Date of burial March 23, 1970
22. Undertaker Mahone Funeral Home, Mahone Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 19, 1970
CAUSE OF DEATH
(a) Pulmonary Edema
(b) Heart Failure
(c) Mitral insuff[iciency]
other chronic obst[ructive] lung disease; # hip
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