Female Death Registration: Year: 1971 number: 1200
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001200
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Willow Nursing Home
3. PRINT NAME OF DECEASED Robertson, Jane
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Ontario
9. DATE OF BIRTH 5 3, 1884
10. AGE in Years86 Months8 Days17 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Alexander Robertson
17. BIRTHPLACE Ontario
18. NAME of Mother Jane Robertson
19. BIRTHPLACE Ontario
20. Signature of Informant Mrs. John Bates
address 110 Alexander Ave., B'water
Relationship to deceased Niece
21. Place of burial Bridgewater
Date of burial January 23, 1971
22. Undertaker Charles Sweeny, B'water
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 20, 1971
CAUSE OF DEATH
(a) Cerebral Haemorrhage
(b) recurrent arteriosclerosis
(c)
other Fractured ?Femur Rt.
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493278
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