Female Death Registration: Year: 1971 number: 1272
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001272
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Dawson Memorial Hospital
3. PRINT NAME OF DECEASED Conrad, Ada Florenc
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Vogler's Cove
9. DATE OF BIRTH 7 16, 1879
10. AGE in Years91 Months6 Days4 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked January 1970 14. Total years 75
15. If married name of spouse Mr. Farish Conrad (deceased)
16. NAME of Father James Conrad
17. BIRTHPLACE Vogler's Cove
18. NAME of Mother Patience Conrad
19. BIRTHPLACE Vogler's Cove
20. Signature of Informant Mrs. Mitchell Rafuse
address Italy Cross
Relationship to deceased Daughter
21. Place of burial Vogler's Cove
Date of burial 23 January 1971
22. Undertaker Stanley Wamback, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 20, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b)
(c)
other Congestive cardiac failure
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493350
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