Female Death Registration: Year: 1971 number: 1015
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001015
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution 71 Arlington Avenue, Halifax
3. PRINT NAME OF DECEASED Dixon, Shirley Ann Catherine
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 6 26, 1932
10. AGE in Years38 Months6 Days7 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry House Duties
13. Date last worked December 30, 1970 14. Total years 10 yrs
15. If married name of spouse David Edward Dixon
16. NAME of Father Herbert R. Corbett
17. BIRTHPLACE Mulgrave, Nova Scotia
18. NAME of Mother Veronica A. Chisholm
19. BIRTHPLACE Glace Bay, Nova Scotia
20. Signature of Informant David Edward Dixon
address 71 Arlington Ave., Halifax
Relationship to deceased Husband
21. Place of burial Gate of Heaven, Lr. Sack.
Date of burial January 4, 1971
22. Undertaker Cruikshank Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 2, 1971
CAUSE OF DEATH
(a) Coronary Occlusion
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493093
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