Female Death Registration: Year: 1970 number: 3384
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003384
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant memorial Hospital
3. PRINT NAME OF DECEASED Moore, Doris Louise
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Mount Denson
9. DATE OF BIRTH 11 12, 1935
10. AGE in Years34 Months6 Days9 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John Thomas Moore
17. BIRTHPLACE England
18. NAME of Mother Lavinia Gillot
19. BIRTHPLACE England
20. Signature of Informant J Thomas Moore
address My Denson, Hants Co
Relationship to deceased Father
21. Place of burial Mt Denson
Date of burial May 23, 1970
22. Undertaker R D Lindsay, Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 21, 1970
CAUSE OF DEATH
(a) Pneumonia
(b) Congenital Heart
(c)
other Mongol child
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488694
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