Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Georgia Meril Moore death at Pictou, Pictou County on December 27, 1970
Female Death Registration: Year: 1970 number: 7605
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007605
1. PLACE OF DEATH County of Pictou If in City or Town Pictou
If death occured in a hospital or institution Sutherland Harris Memorial Hospital
3. PRINT NAME OF DECEASED Moore, Georgia Meril
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE New Brunswick
9. DATE OF BIRTH 12 26, 1899
10. AGE in Years71 Months Days1 | hrs or mins
11. Trade or profession Housekeeper
12. Kind of industry Hospital
13. Date last worked 1970 14. Total years 12
15. If married name of spouse Fred Moore
16. NAME of Father Charles B. Clarke
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Menah Coleman
19. BIRTHPLACE New Brunswick
20. Signature of Informant James Millar
address Old Rd. Pictou
Relationship to deceased Cousin
21. Place of burial Stella Maris, Pictou
Date of burial December 30, 1970
22. Undertaker McLaren - Pictou
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 27, 1970
CAUSE OF DEATH
(a) Hepatitis Notostoses
(b) Carcinoma of Rectum
(c)
other
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