Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Gertrude Vroom death at Halifax, Halifax County on December 29, 1970
Female Death Registration: Year: 1970 number: 7521
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007521
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Keddy's Nursing Manor
3. PRINT NAME OF DECEASED Vroom, Mary Gertrude
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 10, 1884
10. AGE in Years86 Months1 Days19 | 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 Fenwick Vroom
17. BIRTHPLACE New Brunswick
18. NAME of Mother Agnes Campbell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mary Barnard
address 6281 Payzant Ave. Halifax
Relationship to deceased Cousin
21. Place of burial Weymouth North
Date of burial December 31, 1970
22. Undertaker Snow & Co. Ltd. Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 29, 1970
CAUSE OF DEATH
(a) Influenza
(b)
(c)
other
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