Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Rose Anna Travis death at Halifax, Halifax County on March 1, 1971
Female Death Registration: Year: 1971 number: 1977
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001977
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Nursing Home
3. PRINT NAME OF DECEASED Travis, Rose Anna
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 6 15, 1889
10. AGE in Years81 Months8 Days14 | hrs or mins
11. Trade or profession Hswfe - Ret'd
12. Kind of industry at home
13. Date last worked 1960 14. Total years 60
15. If married name of spouse William Travis
16. NAME of Father Wm. Camp
17. BIRTHPLACE England
18. NAME of Mother Virginia La Pierre
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Margaret Sutherland
address 5 Hilton Drive, Dart.
Relationship to deceased Daughter
21. Place of burial Mount Olivet Cemetery, Hfx.
Date of burial March 3, 1971
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 1, 1971
CAUSE OF DEATH
(a) Congestive heart failure
(b)
(c)
other
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