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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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491965
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