Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Amy Connie Pelley death at Halifax, Halifax County on November 16, 1970

Female Death Registration: Year: 1970 number: 6658

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006658

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 Pelley, Amy Connie

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE Halifax

9. DATE OF BIRTH 1  1, 1893

10. AGE in  Years77  Months10  Days15 | 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 Edward John Pelley

16. NAME of Father  

17. BIRTHPLACE

18. NAME of Mother  

19. BIRTHPLACE

20. Signature of Informant Clarence Pelley

      address 2349 Barrington St, Halifax

      Relationship to deceased son

21. Place of burial Saint John's Cemetery, Halifax

      Date of burial Nov 19, 1970

22. Undertaker Lindsay's, Halifax

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH November 16, 1970

CAUSE OF DEATH

(a) hypoalbuminemia and widespread vascular fragility

(b) Cirrhosis of liver

(c)

other pelvic malignancy

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