Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Myrtle Viola Mailman death at North Brookfield, Queens County on March 4, 1971
Female Death Registration: Year: 1971 number: 2064
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002064
1. PLACE OF DEATH County of Queens If in City or Town North Brookfield
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Mailman, Myrtle Viola
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Anglo-Saxon
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 6, 1905
10. AGE in Years65 Months11 Days26 | hrs or mins
11. Trade or profession at home
12. Kind of industry
13. Date last worked 1970 14. Total years 50
15. If married name of spouse Oliver Mailman
16. NAME of Father James Weir
17. BIRTHPLACE NS
18. NAME of Mother Bertha Rhyne
19. BIRTHPLACE NS
20. Signature of Informant Oliver Mailman
address North Brookfield, NS
Relationship to deceased Husband
21. Place of burial North Brookfield, NS
Date of burial March7, 1971
22. Undertaker Langilles Funeral Home, Barss Corner, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 4, 1971
CAUSE OF DEATH
(a) Bilateral basal pneumonia
(b) Cancer stomach
(c) extensive metastases
other
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