Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Dorothy Viola Kaulback death at Halifax, Halifax County on August 12, 1970
Female Death Registration: Year: 1970 number: 4748
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004748
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Kaulback, Dorothy Viola
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German Dutch
7. Single, Married
single
8. BIRTHPLACE East Dalhousie
9. DATE OF BIRTH 12 30, 1905
10. AGE in Years64 Months7 Days13 | hrs or mins
11. Trade or profession Nurse
12. Kind of industry Health Care
13. Date last worked 14. Total years 40 years
15. If married name of spouse
16. NAME of Father Bamford Owen Kaulback
17. BIRTHPLACE Lunenburg County
18. NAME of Mother Louisa Barkhouse
19. BIRTHPLACE Lunenburg County
20. Signature of Informant Guy Kaulback
address Annapolis Royal
Relationship to deceased Brother
21. Place of burial Bridgetown, Annapolis Co.
Date of burial 14 August 1970
22. Undertaker Bridgetown Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 12, 1970
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Arteriosclerosis
(c)
other
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