Female Death Registration: Year: 1971 number: 1050
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001050
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Mental Hospital
3. PRINT NAME OF DECEASED Gray, Irene Beatrice
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia (Halifax)
9. DATE OF BIRTH 1 8, 1897
10. AGE in Years73 Months4 Days5 | hrs or mins
11. Trade or profession Retired
12. Kind of industry House duties
13. Date last worked 1968 14. Total years 50
15. If married name of spouse Charles Frederick (Deceased)
16. NAME of Father James Safford
17. BIRTHPLACE England
18. NAME of Mother Elizabeth ?
19. BIRTHPLACE Halifax
20. Signature of Informant James W. Gray
address 173 Melrose Ave., Hfx.
Relationship to deceased Son
21. Place of burial Halifax (Fairview Cemetery)
Date of burial January 8, 1971
22. Undertaker Cruikshank Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 5, 1971
CAUSE OF DEATH
(a) Influenza
(b) Pneumonia
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493128
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