Female Death Registration: Year: 1971 number: 1069
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001069
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Keddy's Nursing Manor
3. PRINT NAME OF DECEASED Forbes, Myrtle Victoria
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 5 23, 1900
10. AGE in Years70 Months7 Days17 | hrs or mins
11. Trade or profession Retired - Manager
12. Kind of industry Cash Office, Simpson's
13. Date last worked 1961 14. Total years 42 yrs
15. If married name of spouse
16. NAME of Father James John Forbes
17. BIRTHPLACE Halifax Nova Scotia
18. NAME of Mother Mary Doyle
19. BIRTHPLACE Halifax Nova Scotia
20. Signature of Informant John A. Forbes
address 6271 Summit Street Halifax
Relationship to deceased Brother
21. Place of burial Fairview Cemetery Hfx
Date of burial January 12/1971
22. Undertaker Cruikshank Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 9, 1971
CAUSE OF DEATH
(a) Pneumonia
(b) Cerebrovascular Accident
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493147
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