Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Mildred Estella Forsyth death at Kentville, Kings County on November 3, 1970

Female Death Registration: Year: 1970 number: 6613

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006613

1. PLACE OF DEATH   County of Kings If in City or Town Kentville
If death occured in a hospital or institution Country Home Nursing Home

3. PRINT NAME OF DECEASED Forsyth, Mildred Estella

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

Scottish

7. Single, Married

widowed

8. BIRTHPLACE North Range

9. DATE OF BIRTH 9  24, 1891

10. AGE in  Years79  Months1  Days10 | hrs or mins

11. Trade or profession

12. Kind of industry Housewife

13. Date last worked       14. Total years

15. If married name of spouse

16. NAME of Father Cyrus B. MacNeill

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Amanda Love White

19. BIRTHPLACE Kings County

20. Signature of Informant Mrs. Harold F. Calkin

      address Berwick, R.R2

      Relationship to deceased Daughter

21. Place of burial Bridgetown

      Date of burial November 5, 1970

22. Undertaker Bridgetown Funeral Home.

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH November 3, 1970

CAUSE OF DEATH

(a) Chronic myocarditis

(b) arteriosclerosis

(c)

other Rheumatoid arthritis

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