Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Alice Gertrude Cleveland death at Musquodobit Harbour, Halifax County on July 3, 1970
Female Death Registration: Year: 1970 number: 4194
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004194
1. PLACE OF DEATH County of Halifax If in City or Town Musquodobit Harbour
3. PRINT NAME OF DECEASED Cleveland, Alice Gertrude
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Canning
9. DATE OF BIRTH 6 22, 1890
10. AGE in Years80 Months Days11 | hrs or mins
11. Trade or profession House duties
12. Kind of industry
13. Date last worked 1964 14. Total years 57
15. If married name of spouse
16. NAME of Father John Jordan
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs Joan Conrod
address 6 Rocklin Dr, Dartmouth
Relationship to deceased Daughter
21. Place of burial Musquodoboit Harbour Cemetery
Date of burial July 6 1970
22. Undertaker Mattatall Funeral Service Ltd, Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 3, 1970
CAUSE OF DEATH
(a) Pneumonia
(b) Generalized cachxectic condition
(c)
other
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