Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Elizabeth Payne death at Halifax, Halifax County on March 5, 1971
Female Death Registration: Year: 1971 number: 2105
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002105
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Basin View Home Gottingen St.
3. PRINT NAME OF DECEASED Payne, Elizabeth
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Carbonear, Newfoundland
9. DATE OF BIRTH 12 27, 1892
10. AGE in Years78 Months2 Days6 | 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 Hedley Payne
16. NAME of Father William Briane
17. BIRTHPLACE Newfoundland
18. NAME of Mother Sarah French
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mrs. Hazel Matthews
address 37 Glenda Cres., (Fairview)., Halifax, NS
Relationship to deceased Sister
21. Place of burial St. John's Cemetery, Hfx.
Date of burial March 8, 1971
22. Undertaker Lindsay's Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 5, 1971
CAUSE OF DEATH
(a) Senility (advanced)
(b) generalized artherosclerosis
(c)
other Colitis
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