Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Holly Anna Moore death at Middleton, Annapolis County on December 6, 1970
Female Death Registration: Year: 1970 number: 7068
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007068
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution S.M. Hospital
3. PRINT NAME OF DECEASED Moore, Holly Anna
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 4, 1970
10. AGE in Years Months7 Days2 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Sturgess Moore
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Eileen Bezanson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Eileen Moore
address No. Williamston, Anna. Co.
Relationship to deceased Mother
21. Place of burial Fairview, Lawrencetown, Anna. Co.
Date of burial December 9 - 1970
22. Undertaker Warren T. Roop Ltd. Middleton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 6, 1970
CAUSE OF DEATH
(a) hydrocephalus
(b) meningomyelocele
(c)
other
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