Female Death Registration: Year: 1971 number: 1686
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001686
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution V.G. Hospital
3. PRINT NAME OF DECEASED Mason, Ethel Pearl
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Ecum Secum
9. DATE OF BIRTH ,
10. AGE in Years80 Months Days | 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 Harold Mason
16. NAME of Father Hiram Fleet
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mr. Cyril Mason
address 29 Dartmill Cr., Bedford
Relationship to deceased Son
21. Place of burial St. Johns Cemetery, Hfx.
Date of burial February 8, 1971
22. Undertaker R.D. Lindsay, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 5, 1971
CAUSE OF DEATH
(a) cerebrovascular accident
(b) cong. heart failure
(c) alcoholic cirrhosis
other Chr. Brain Syndrome (Senile)
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493764
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