Female Death Registration: Year: 1970 number: 6780
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006780
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution 1558 Walnut St., Halifax
3. PRINT NAME OF DECEASED Campbell, Anna Edith
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Pictou
9. DATE OF BIRTH 4 4, 1879
10. AGE in Years91 Months7 Days13 | hrs or mins
11. Trade or profession retired housewife
12. Kind of industry at home
13. Date last worked 1965 14. Total years 65
15. If married name of spouse Roderick Campbell
16. NAME of Father Alexander MacMillan
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Isobel Sutherland
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Fraser Cooke
address 1558 Walnut St, Halifax
Relationship to deceased son-in-law
21. Place of burial Haliburton Cemetery, Pictou
Date of burial Nov 19, 1970
22. Undertaker Halifax Funeral Home Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 17, 1970
CAUSE OF DEATH
(a) myocarditis with failure
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492087
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