Female Death Registration: Year: 1970 number: 4523
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004523
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Children's Hospital
3. PRINT NAME OF DECEASED Langille, Patricia Ann
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
single
8. BIRTHPLACE Shelburne
9. DATE OF BIRTH 7 26, 1970
10. AGE in Years Months Days1 | 10 hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Franklyn Langille
17. BIRTHPLACE Boston, Massachusetts, USA
18. NAME of Mother Frances Chetwynd
19. BIRTHPLACE Quincy, Massachusetts, USA
20. Signature of Informant Frances Chetwynd
address 38 Glover Ave. Quincy, Massachusetts
Relationship to deceased Grandmother
21. Place of burial Quincy, Massachusetts, United States of America
Date of burial July 28, 1970
22. Undertaker Cruikshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 27, 1970
CAUSE OF DEATH
(a) Prematurity
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489832
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