Female Death Registration: Year: 1970 number: 6192
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006192
1. PLACE OF DEATH County of Halifax If in City or Town Musquodobit Harbour
If death occured in a hospital or institution Twin Oaks Memorial Hospital
3. PRINT NAME OF DECEASED Mitchell, Miriam Laura
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 28, 1904
10. AGE in Years56 Months8 Days7 | hrs or mins
11. Trade or profession Telephone Operator
12. Kind of industry Telephone Company
13. Date last worked 20 Dec 69 14. Total years 27
15. If married name of spouse Charles Mitchell
16. NAME of Father Amos Drake
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Susan Laybolt
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Evelyn Mitchell
address Lake Charlotte, Halifax Co
Relationship to deceased Daughter
21. Place of burial Oyster Pond, Jeddore
Date of burial 6 October 1970
22. Undertaker Rowlings Funeral Service, Musquodoboit Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 4, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491499
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