Female Death Registration: Year: 1971 number: 1667
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001667
1. PLACE OF DEATH County of Shelburne If in City or Town Lockeport
If death occured in a hospital or institution Surf Lodge Nursing Home
3. PRINT NAME OF DECEASED Black, Hilda Janet
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 11, 1892
10. AGE in Years78 Months6 Days27 | hrs or mins
11. Trade or profession Housework
12. Kind of industry
13. Date last worked 1966 14. Total years 40
15. If married name of spouse John A. Black
16. NAME of Father Wilson Trefry
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Hitchens
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Jennie Hitchens
address Barrington, Nova Scotia
Relationship to deceased Cousin
21. Place of burial Barrington, Nova Scotia
Date of burial February 10, 1971
22. Undertaker Kenney Funeral Service, Barrington
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 7, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) Coronary Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493745
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