Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Agnes Vincent Kelly death at Halifax, Halifax County on August 5, 1970
Female Death Registration: Year: 1970 number: 4736
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004736
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Kelly, Agnes Vincent
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 6 10, 1888
10. AGE in Years82 Months1 Days25 | 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 John Kelly
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary O'Neil
19. BIRTHPLACE Ireland
20. Signature of Informant
address Mt St Vincent. Halifax
Relationship to deceased
21. Place of burial Gate of Heaven Lr Sack
Date of burial August 7, 1970
22. Undertaker Snow + Co Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 5, 1970
CAUSE OF DEATH
(a) Crebro-Vascular Accident
(b)
(c)
other
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