Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mona Isabel Roberts death at Truro, Colchester County on July 6, 1970
Female Death Registration: Year: 1970 number: 4543
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004543
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Colchester Hospital
3. PRINT NAME OF DECEASED Roberts, Mona Isabel
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 1 12, 1909
10. AGE in Years61 Months5 Days24 | hrs or mins
11. Trade or profession at home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Ansley Roberts
16. NAME of Father Robert Smith
17. BIRTHPLACE Newfoundland
18. NAME of Mother Florence Atkinson
19. BIRTHPLACE Newfoundland
20. Signature of Informant Ansely Roberts
address 21 Archibald St. Truro
Relationship to deceased Husband
21. Place of burial Terrace Hill Cemetery, Truro
Date of burial July 8, 1970
22. Undertaker Mattatall Funeral Home, Truro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 6, 1970
CAUSE OF DEATH
(a) Aleukemic Leukemia
(b)
(c)
other
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