Female Death Registration: Year: 1970 number: 2963
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002963
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Civic Hospital
3. PRINT NAME OF DECEASED Roast, Theresa
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 8 12, 1893
10. AGE in Years76 Months8 Days10 | hrs or mins
11. Trade or profession Retired
12. Kind of industry House Duties
13. Date last worked 1967 14. Total years 42
15. If married name of spouse
16. NAME of Father William Niles
17. BIRTHPLACE Newfoundland
18. NAME of Mother Eliza Barnes
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mr William Blagden
address 12 Glenwood Ave, Dart.
Relationship to deceased Son
21. Place of burial Lower East Chezzetcook, Halifax
Date of burial April 25 / 70
22. Undertaker Mattatall Funeral Service Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 22, 1970
CAUSE OF DEATH
(a) Cancer of Liver
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488274
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