Female Death Registration: Year: 1970 number: 5692
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005692
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Falle, Goldia Gladys
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 5 28, 1922
10. AGE in Years48 Months3 Days12 | hrs or mins
11. Trade or profession House duties
12. Kind of industry
13. Date last worked 1967 14. Total years 27
15. If married name of spouse Mr. Raymond Falle
16. NAME of Father William Hiltz
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mabel Graham
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Raymond Falle
address 6 Middle St., Dartmouth
Relationship to deceased Husband
21. Place of burial Mt. Hermon, Dart.
Date of burial September 11, 1970
22. Undertaker Mattel's Funeral
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 10, 1970
CAUSE OF DEATH
(a) Broncho Pneumonia
(b) Carinomalisis - 1 year
(c) Carinoma of Breast (R) 6
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491000
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