Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Daisy Victoria Moore death at Halifax, Halifax County on October 31, 1970
Female Death Registration: Year: 1970 number: 6512
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006512
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Moore, Daisy Victoria
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE River Hebert
9. DATE OF BIRTH 1 11, 1923
10. AGE in Years47 Months9 Days20 | hrs or mins
11. Trade or profession House wife
12. Kind of industry
13. Date last worked Oct. 31, 1970 14. Total years 24
15. If married name of spouse Arthur Sherman Moore
16. NAME of Father John Rector
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Norton
19. BIRTHPLACE England
20. Signature of Informant Arthur S. Moore
address Leamington, Cumberland County
Relationship to deceased Husband
21. Place of burial Leamington
Date of burial November 3, 1970
22. Undertaker A.H. Brown Funeral Service Ltd., Springhill
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 31, 1970
CAUSE OF DEATH
(a) Cardiac tamponade
(b) Chronic renal failure
(c) Fibrinous Pericarditis
other
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