Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Alberta West death at Berwick, Kings County on January 10, 1971
Female Death Registration: Year: 1971 number: 1373
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001373
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution W.K.M Hospital
3. PRINT NAME OF DECEASED West, Mary Alberta
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nicholsville Nova Scotia
9. DATE OF BIRTH 5 22, 1879
10. AGE in Years91 Months7 Days19 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse George West
16. NAME of Father Isaac Nichols
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Winsby
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Gerald West
address Morristown NS.
Relationship to deceased Son
21. Place of burial Morristown (Cem)
Date of burial January 13, 1971
22. Undertaker H.C. Lindsay Funeral Home Berwick
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 10, 1971
CAUSE OF DEATH
(a) Broncho Pneumonia
(b)
(c) Ch. Brain Syndrome
other
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