Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Ella Mae Roma death at Halifax, Halifax County on March 14, 1971

Female Death Registration: Year: 1971 number: 2218

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 002218

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary

3. PRINT NAME OF DECEASED Roma, Ella Mae

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

married

8. BIRTHPLACE Ontario

9. DATE OF BIRTH 1  17, 1914

10. AGE in  Years57  Months1  Days25 | hrs or mins

11. Trade or profession Housewife

12. Kind of industry Housekeeping

13. Date last worked 1964       14. Total years 30

15. If married name of spouse Leo Roma

16. NAME of Father John Thibolt

17. BIRTHPLACE Ontario

18. NAME of Mother  

19. BIRTHPLACE

20. Signature of Informant Leo Roma

      address West Chezzetcook

      Relationship to deceased husband

21. Place of burial West Chezzetcook

      Date of burial March 17, 1971

22. Undertaker Rowlings Funeral Service, Musquodoboit Harbour

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH March 14, 1971

CAUSE OF DEATH

(a) cardiac arrest

(b) Paroxysmal E.V. Ectopics

(c) Cardiac Failure

other Diabetic Coma

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494295

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