Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Gertrude Frances Keith death at Dartmouth, Halifax County on February 3, 1971

Female Death Registration: Year: 1971 number: 1624

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 001624

1. PLACE OF DEATH   County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution 27 Stevens Road

3. PRINT NAME OF DECEASED Keith, Gertrude Frances

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

Irish

7. Single, Married

widowed

8. BIRTHPLACE Petitcodiac, New Brunswick

9. DATE OF BIRTH 4  16, 1888

10. AGE in  Years82  Months9  Days17 | hrs or mins

11. Trade or profession Retired

12. Kind of industry Houseduties

13. Date last worked       14. Total years

15. If married name of spouse

16. NAME of Father Robert Bourns

17. BIRTHPLACE Ireland

18. NAME of Mother Mary Bailey

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Mrs. Marion Taylor

      address 27 Stevens Road, Dartmouth

      Relationship to deceased Daughter

21. Place of burial Willowbank Cem., Wolfville

      Date of burial February 5, 1971

22. Undertaker A.L. Mattatall Fun. Serv. Ltd., Dartmouth

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH February 3, 1971

CAUSE OF DEATH

(a) Myocardial Infarction

(b) Congestive Heart Failure

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493702

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