Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Lavine Loretta Hirtle death at Middleton, Annapolis County on September 22, 1970

Female Death Registration: Year: 1970 number: 6260

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006260

1. PLACE OF DEATH   County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldiers Memorial Hospital

3. PRINT NAME OF DECEASED Hirtle, Lavine Loretta

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 1  25, 1885

10. AGE in  Years85  Months6  Days28 | hrs or mins

11. Trade or profession Housewife

12. Kind of industry x

13. Date last worked August, 1970       14. Total years Life

15. If married name of spouse Kenneth S. Hirtle

16. NAME of Father  (Wagner)?

17. BIRTHPLACE

18. NAME of Mother  

19. BIRTHPLACE

20. Signature of Informant Mrs. Pauline Drew

      address Wilmot, Annapolis Co.

      Relationship to deceased Grandaughter

21. Place of burial So. Farmington, Anna. Co.

      Date of burial September 24 1970

22. Undertaker Warren T. Roop Ltd. Middleton

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 22, 1970

CAUSE OF DEATH

(a) Broncho Pneumonia

(b) Cardiac Failure

(c)

other

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