Female Death Registration: Year: 1970 number: 5870
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005870
1. PLACE OF DEATH County of Cape If in City or Town North Sydney
If death occured in a hospital or institution St. Elizabeth Hospital, North Sydney
3. PRINT NAME OF DECEASED Campbell, Theresa
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Pennfield, New Brunswick
9. DATE OF BIRTH 10 4, 1892
10. AGE in Years77 Months10 Days8 | 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 Frank Daley
17. BIRTHPLACE New Brunswick
18. NAME of Mother Helen Sullivan
19. BIRTHPLACE Port Daniel, Quebec
20. Signature of Informant Miss Geraldine Campbell
address 17 Johnstone St. Sydney
Relationship to deceased Daughter
21. Place of burial Holy Cross Cemetery, Sydney
Date of burial 15 Aug. 1970
22. Undertaker T.J. Curry Limited, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 12, 1970
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b)
(c)
other Multiple fractures due to car accident on 12 Aug. 1970 Patient in ambulance which left road.
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491178
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