Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Bernice Edna Evans death at Halifax, Halifax County on November 8, 1970

Female Death Registration: Year: 1970 number: 6533

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006533

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 Evans, Bernice Edna

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

Irish

7. Single, Married

married

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 9  24, 1913

10. AGE in  Years57  Months1  Days15 | hrs or mins

11. Trade or profession housewife

12. Kind of industry

13. Date last worked Oct, 1970       14. Total years

15. If married name of spouse Aubrey Evans

16. NAME of Father Eustace Gorman

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Bessie Hemlow

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Aubrey S. Evans

      address Chester

      Relationship to deceased husband

21. Place of burial Chester

      Date of burial Nov 10, 1970

22. Undertaker Davis Funeral Home, Chester

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH November 8, 1970

CAUSE OF DEATH

(a) Diabetes Mellitus with Keto acidosis

(b)

(c)

other Mitral Stenosis; Chronic renal failure

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