Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Pauline Marion Bautz death at Liverpool, Queens County on January 5, 1971
Female Death Registration: Year: 1971 number: 1042
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001042
1. PLACE OF DEATH County of Queens If in City or Town Liverpool
If death occured in a hospital or institution Queens General Hospital
3. PRINT NAME OF DECEASED Bautz, Pauline Marion
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
separated
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 19, 1920
10. AGE in Years50 Months6 Days17 | hrs or mins
11. Trade or profession At Home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Separated
16. NAME of Father Fred Weagle
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Eugenie Christie
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Ms Michael Whynot
address Middlewood, Lun Co.
Relationship to deceased Daughter
21. Place of burial Middlewood, Lun. Co.
Date of burial January 8, 1971
22. Undertaker Charles F. Sweeney, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 5, 1971
CAUSE OF DEATH
(a) Ca (L) Breast with Pulmonary & Osseus metastases
(b)
(c)
other
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