Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Mildred Lorena Harris death at Berwick, Kings County on December 17, 1970

Female Death Registration: Year: 1970 number: 7480

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 007480

1. PLACE OF DEATH   County of Kings If in City or Town Berwick
If death occured in a hospital or institution Western Kings Memorial Hospital

3. PRINT NAME OF DECEASED Harris, Mildred Lorena

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

married

8. BIRTHPLACE Walpole, Massachusetts, USA

9. DATE OF BIRTH 11  29, 1901

10. AGE in  Years69  Months0  Days18 | 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 Clayton Harris

16. NAME of Father Frank Wood

17. BIRTHPLACE USA

18. NAME of Mother Grace Lowe

19. BIRTHPLACE USA

20. Signature of Informant Mr. Clayton Harris

      address Auburn

      Relationship to deceased husband

21. Place of burial Aylesford Cemetery

      Date of burial December 19, 1970

22. Undertaker H.C. Lindsay Funeral Home, Kentville

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH December 17, 1970

CAUSE OF DEATH

(a) bronchopneumonia

(b) adenocarcinoma of ovary with metastasis

(c)

other

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