Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Muriel Grace Donnelly death at Soldiers Memorial Hospital Middleton, Annapolis County on October 28, 1970

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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