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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