Female Death Registration: Year: 1970 number: 6502
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006502
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Civic Hospital
3. PRINT NAME OF DECEASED Keeffe, Carmelita Hortense
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Dorchester, New Brunswick
9. DATE OF BIRTH 5 21, 1893
10. AGE in Years77 Months5 Days14 | hrs or mins
11. Trade or profession Housewife - retired
12. Kind of industry at home
13. Date last worked 1969 14. Total years 51
15. If married name of spouse George Keeffe
16. NAME of Father Ambrose D Richard
17. BIRTHPLACE New Brunswick
18. NAME of Mother Elizabeth Holt
19. BIRTHPLACE New Brunswick
20. Signature of Informant Mrs. G L Phillips
address 1538 Oxford St., Halifax
Relationship to deceased Daughter
21. Place of burial St John, New Brunswick
Date of burial Nov. 7, 1970
22. Undertaker Halifax Funeral Home Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 4, 1970
CAUSE OF DEATH
(a) Pulmonary embolism
(b)
(c)
other Arteriosclerotic heart disease Paget's Disease of bone
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491809
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