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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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491567
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