Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Bertha Annie Burns death at Wilmot, Annapolis County on August 31, 1970
Female Death Registration: Year: 1970 number: 5209
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005209
1. PLACE OF DEATH County of Annapolis If in City or Town Wilmot
If death occured in a hospital or institution Parkers Boarding Home
3. PRINT NAME OF DECEASED Burns, Bertha Annie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 13, 1878
10. AGE in Years92 Months5 Days18 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1965 14. Total years Life
15. If married name of spouse DeLong Burns
16. NAME of Father David Pelton
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Charlotte Smith
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Carl Burns
address Torbrook Mines
Relationship to deceased Son
21. Place of burial Tremont
Date of burial September 3, 1970
22. Undertaker Warren T. Roop Ltd. Middleton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 31, 1970
CAUSE OF DEATH
(a) Congestive Heart Failure
(b)
(c)
other
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