Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Gonzaga Archer death at Halifax, Halifax County on January 1, 1971
Female Death Registration: Year: 1971 number: 1011
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001011
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Civic Hospital
3. PRINT NAME OF DECEASED Archer, Mary Gonzaga
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE St. John's, Newfoundland
9. DATE OF BIRTH 12 31, 1883
10. AGE in Years87 Months Days1 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry At Home
13. Date last worked Dec. 1/70 14. Total years 68 yrs
15. If married name of spouse William Archer
16. NAME of Father John Moore
17. BIRTHPLACE Newfoundland
18. NAME of Mother Sarah Coady
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mr. Bernard Archer
address 5815 Kaye St., Halifax
Relationship to deceased Son
21. Place of burial Lr. Sackville, Gate of Heaven Cemetery,
Date of burial January 4, 1971
22. Undertaker Halifax Funeral Home Ltd., Halifax, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 1, 1971
CAUSE OF DEATH
(a) Cardiac arrest
(b) Arteriosclerotic Heart Disease
(c)
other
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