Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Elsie May Romo death at Musquodobit Harbour, Halifax County on April 6, 1970
Female Death Registration: Year: 1970 number: 3626
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003626
1. PLACE OF DEATH County of Halifax If in City or Town Musquodobit Harbour
If death occured in a hospital or institution Twin Oaks Memorial Hospital, Musquodoboit Harbour
3. PRINT NAME OF DECEASED Romo, Elsie May
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE England
9. DATE OF BIRTH 12 12, 1900
10. AGE in Years69 Months3 Days25 | 0 hrs or 0 mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked Dec 1969 14. Total years 49
15. If married name of spouse Clement Romo
16. NAME of Father Hayward
17. BIRTHPLACE England
18. NAME of Mother
19. BIRTHPLACE England
20. Signature of Informant Clement Romo
address Head Chezzetcook
Relationship to deceased Husband
21. Place of burial West Chezzetcook
Date of burial April 8 1970
22. Undertaker Rowlings Funeral Service, Musquodoboit Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 6, 1970
CAUSE OF DEATH
(a) Pulmonary embolism
(b)
(c)
other ASHD
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