Female Death Registration: Year: 1970 number: 3574
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003574
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution 406 Dutch Village Rd
3. PRINT NAME OF DECEASED Campbell, Ellen Lawlor
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Dartmouth
9. DATE OF BIRTH 7 4, 1884
10. AGE in Years85 Months10 Days23 | hrs or mins
11. Trade or profession Housewife - Retired
12. Kind of industry At Home
13. Date last worked Jan/68 14. Total years 65
15. If married name of spouse John Tupper Campbell
16. NAME of Father Brady
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Anabella Berringer
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Daniel T Campbell
address 406 Dutch Village Rd, Halifax
Relationship to deceased Son
21. Place of burial Fairview Cemetery, Halifax
Date of burial May 29, 1970
22. Undertaker Halifax Funeral Home Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 27, 1970
CAUSE OF DEATH
(a) Arterosclerotic heart Disease
(b)
(c)
other Senility
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488884
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