Female Death Registration: Year: 1971 number: 1803
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001803
1. PLACE OF DEATH County of Queens If in City or Town Liverpool
If death occured in a hospital or institution Fahie's Nursing Home
3. PRINT NAME OF DECEASED Morley, Ada Mae
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Milton
9. DATE OF BIRTH 2 28, 1887
10. AGE in Years89 Months11 Days10 | hrs or mins
11. Trade or profession retired
12. Kind of industry Housewife
13. Date last worked 14. Total years
15. If married name of spouse Clifford Morley (Dec'd)
16. NAME of Father William Robart
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Victor Morley
address Milton
Relationship to deceased Son
21. Place of burial Milton
Date of burial February 10, 1971
22. Undertaker Chandlers' Funeral Service Ltd., Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 7, 1971
CAUSE OF DEATH
(a) Pneumonia
(b) Congestive Ht Failure
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493881
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