Female Death Registration: Year: 1971 number: 2114
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002114
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Perkins, Nain
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE New Brunswick
9. DATE OF BIRTH 8 17, 1880
10. AGE in Years90 Months6 Days19 | hrs or mins
11. Trade or profession Retired housewife
12. Kind of industry at home
13. Date last worked 1970 14. Total years 30
15. If married name of spouse Harry Perkins
16. NAME of Father Wm A Clark
17. BIRTHPLACE New Brunswick
18. NAME of Mother Janthe T Mullen
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs J B Slocomb
address 17 N Garden St, Halifax, NS
Relationship to deceased Sister
21. Place of burial Bedford, NS
Date of burial March 9th 1971
22. Undertaker Halifax Funeral Home Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 8, 1971
CAUSE OF DEATH
(a) Carcinoma of Stomach
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494191
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