Female Death Registration: Year: 1970 number: 4026
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004026
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Moore, Mary Vera
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE East Chezzetcook
9. DATE OF BIRTH 1 18, 1909
10. AGE in Years61 Months5 Days4 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry At Home
13. Date last worked April 1970 14. Total years life
15. If married name of spouse Charles A. Moore
16. NAME of Father John Malcolm
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Rose Misener
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Margaret Swaffer
address Lake Echo, Halifax Co.
Relationship to deceased Sister
21. Place of burial West Chezzetcook
Date of burial June 24, 1970
22. Undertaker Dartmouth Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 22, 1970
CAUSE OF DEATH
(a) Cachexia
(b) Carcinoma of Stomach
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489335
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