Female Death Registration: Year: 1971 number: 2210
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002210
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution 5181 South St
3. PRINT NAME OF DECEASED Richard, Margaret Jane
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Charlos Cove, Guysboro County
9. DATE OF BIRTH 10 22, 1886
10. AGE in Years84 Months4 Days17 | 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 Marton
16. NAME of Father Richard Lack
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Boudreau
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. R. Brooks
address 5181 South St., Hfx.
Relationship to deceased Daughter
21. Place of burial Charlos Cove, Guysboro County
Date of burial March 12, 1971
22. Undertaker Snow & Co., Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 11, 1971
CAUSE OF DEATH
(a) Arterio Sclerotic Heart Disease
(b)
(c) Diabetes Mellitus
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494287
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