Female Death Registration: Year: 1971 number: 1383
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001383
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 Weagle, Mary Jane
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Camperdown, Lun. County
9. DATE OF BIRTH 12 20, 1894
10. AGE in Years76 Months1 Days6 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked Jan.25/71 14. Total years 60
15. If married name of spouse Mr. Gideon Weagle (deceased)
16. NAME of Father Nathaniel Whynot
17. BIRTHPLACE Camperdown, Lun. Co.
18. NAME of Mother Sarah Frank
19. BIRTHPLACE Mill Village, Queen's Co.
20. Signature of Informant Mrs. Mildred G. Wamboldt
address 101 Russell Street, Dartmouth
Relationship to deceased Daughter
21. Place of burial Camperdown, Lun. Co.
Date of burial January 29, 1971
22. Undertaker Stan N. Wamback, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 26, 1971
CAUSE OF DEATH
(a) Myocardial infarction
(b) ASHD
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493461
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