Female Death Registration: Year: 1970 number: 6261
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006261
1. PLACE OF DEATH County of Annapolis If in City or Town Soldiers Memorial Hospital Middleton
If death occured in a hospital or institution Soldiers Memorial Hospital, Middleton
3. PRINT NAME OF DECEASED Donnelly, Muriel Grace
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Melvern Square
9. DATE OF BIRTH 11 18, 1896
10. AGE in Years73 Months10 Days10 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Melbourne Donnely
16. NAME of Father Ralph Lantz
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Myra Jennie Wilkins
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Graham Donnelly
address Mt Hanley, Annapolis Co.
Relationship to deceased Son
21. Place of burial Port George
Date of burial October 30th 1970
22. Undertaker Frederick G. Roop Funeral Service, Middletpn
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 28, 1970
CAUSE OF DEATH
(a) Subarachnoid haemorrhage
(b) Diabetes mellitus
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491568
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