Female Death Registration: Year: 1971 number: 1129
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001129
1. PLACE OF DEATH County of Halifax If in City or Town Porters Lake
If death occured in a hospital or institution Porters Lake, Hfx. Co.
3. PRINT NAME OF DECEASED Keeble, Sheila Mauro
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Danish
7. Single, Married
divorced
8. BIRTHPLACE Regina, Sask.
9. DATE OF BIRTH 4 14, 1933
10. AGE in Years37 Months8 Days25 | hrs or mins
11. Trade or profession Manager
12. Kind of industry
13. Date last worked Jan. 8, 1971 14. Total years
15. If married name of spouse
16. NAME of Father Jens Peter Mikkelson
17. BIRTHPLACE Kjarring, Denmark
18. NAME of Mother Mary Jackson
19. BIRTHPLACE England
20. Signature of Informant Mrs. Edna Vieaux
address Bel Ayr. Part. Dart.
Relationship to deceased Sister
21. Place of burial Dart. Mem. Gardens
Date of burial January 13, 1971
22. Undertaker Mattatal Funeral Serv. Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 10, 1971
CAUSE OF DEATH
(a) Asphyxiation
(b) Drowning
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493207
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