Female Death Registration: Year: 1971 number: 1181
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001181
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Mitchell, Reginald Carl
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Ontario (Beaton)
9. DATE OF BIRTH 4 7, 1892
10. AGE in Years78 Months9 Days6 | hrs or mins
11. Trade or profession Canteen
12. Kind of industry Camp Hill
13. Date last worked 14. Total years
15. If married name of spouse Annie Blanche (Burns)
16. NAME of Father James Mitchell
17. BIRTHPLACE Ontario
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. J. Burns
address 3003 Olivet Rd. Hfx.
Relationship to deceased Friend
21. Place of burial Fairview Cemetery, Hfx.
Date of burial January 15, 1971
22. Undertaker R.D. Lindsay Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 13, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b)
(c)
other Septicemia Strangulated hernia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493259
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