Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Daisy Virtue Pearl death at Middleton, Annapolis County on July 11, 1970
Female Death Registration: Year: 1970 number: 4636
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004636
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldiers Memorial Hospital
3. PRINT NAME OF DECEASED Pearl, Daisy Virtue
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Blomidon
9. DATE OF BIRTH 12 23, 1886
10. AGE in Years84 Months6 Days18 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked Jan 1970 14. Total years 50
15. If married name of spouse Minard Pearl
16. NAME of Father Willard Coffill
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Virtue Baltzer
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Marguerite Felch
address 36 Maple St, Kingston
Relationship to deceased Daughter
21. Place of burial Billtown, Kings Co
Date of burial 15 July 1970
22. Undertaker Frederick G Roop Funeral Service, Middleton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 11, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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