Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ina R. Crouse death at Halifax, Halifax County on January 1, 1971
Female Death Registration: Year: 1971 number: 1001
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001001
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution V. G. Hospital
3. PRINT NAME OF DECEASED Crouse, Ina R.
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
widowed
8. BIRTHPLACE Wileville, Lunenburg County
9. DATE OF BIRTH 4 6, 1894
10. AGE in Years76 Months8 Days25 | hrs or mins
11. Trade or profession Houseduties
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Hibert Weagle
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lydia Veinot
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Norman Miller
address 4 Trinity Ave., Dartmouth
Relationship to deceased Granddaughter
21. Place of burial Dart. Mem. Gardens
Date of burial January 4, 1971
22. Undertaker A. L. Mattatall Fun. Serv. Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 1, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Arterosclerosis
(c)
other
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