Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Beverley Jacqueline Shaw death at Halifax, Halifax County on June 9, 1970
Female Death Registration: Year: 1970 number: 3680
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003680
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary, Halifax
3. PRINT NAME OF DECEASED Shaw, Beverley Jacqueline
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 2 23, 1930
10. AGE in Years40 Months3 Days17 | hrs or mins
11. Trade or profession Spinster
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father William Alfred Shaw
17. BIRTHPLACE Newfoundland
18. NAME of Mother Edna Messervey
19. BIRTHPLACE Newfoundland
20. Signature of Informant Dr. A. B. Shaw
address 6714 Jubilee Road, Halifax
Relationship to deceased Sister
21. Place of burial Fairview Cemetery, Halifax
Date of burial July 12, 1970
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 9, 1970
CAUSE OF DEATH
(a) Resp. failure
(b) Chr Obst Lung Disease
(c)
other Pre renal failure GI Bleeding
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