Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ann Elizabeth Vanemburg death at Middle Musquodobit, Halifax County on December 30, 1970
Female Death Registration: Year: 1970 number: 7571
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007571
1. PLACE OF DEATH County of Halifax If in City or Town Middle Musquodobit
If death occured in a hospital or institution Musquodoboit Valley Memorial Hospital
3. PRINT NAME OF DECEASED Vanemburg, Ann Elizabeth
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Wedgeport
9. DATE OF BIRTH 8 29, 1894
10. AGE in Years76 Months4 Days1 | 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 Frank Surette
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Genevieve Dorion
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Vincent Moffett
address Antrim
Relationship to deceased Daughter
21. Place of burial Enfield
Date of burial January 2, 1971
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 30, 1970
CAUSE OF DEATH
(a) inursion hemmorrhage
(b)
(c)
other
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