Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Gladys Jensen death at Halifax, Halifax County on February 28, 1971
Female Death Registration: Year: 1971 number: 1972
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001972
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary, Halifax
3. PRINT NAME OF DECEASED Jensen, Gladys
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 7 16, 1892
10. AGE in Years78 Months7 Days12 | hrs or mins
11. Trade or profession housewife
12. Kind of industry at home
13. Date last worked June 1969 14. Total years 48
15. If married name of spouse [L N?] Victor Jensen
16. NAME of Father James Pitkin
17. BIRTHPLACE England
18. NAME of Mother not available not available
19. BIRTHPLACE not available
20. Signature of Informant Mrs L M Kirby FMC
address 6675 Third St, Hfx, NS
Relationship to deceased daughter
21. Place of burial Camp Hill Cemetery, HFX
Date of burial March 3, 1971
22. Undertaker Halifax Funeral Home Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 28, 1971
CAUSE OF DEATH
(a) Chronic Renal Failure
(b) Diabetes Mellitus
(c) Arteriosclerotic Heart Disease with congestive heart failure
other
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