Female Death Registration: Year: 1971 number: 1516
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001516
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Allen, Mary Gladys
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 2 9, 1916
10. AGE in Years54 Months11 Days18 | 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 Elmer Allen
16. NAME of Father John Moulaison
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Emma Ward
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Elmer Allen
address Carleton, Yarmouth County, Nova Scotia
Relationship to deceased Husband
21. Place of burial Carlton, Yarmouth County, Nova Scotia
Date of burial January 30, 1971
22. Undertaker Sweeney Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 27, 1971
CAUSE OF DEATH
(a) Pulmonary Embolism
(b) Severe Diabetes
(c) Breast Cancer
other Hypertension
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493594
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