Female Death Registration: Year: 1971 number: 2223
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002223
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution 6543 Berlin St., Halifax
3. PRINT NAME OF DECEASED Gallagher, Seraphine Mary
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE L'Ardoise, Cape Breton
9. DATE OF BIRTH 1 4, 1879
10. AGE in Years92 Months2 Days10 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry at home
13. Date last worked 1968 14. Total years 71 yrs
15. If married name of spouse John L. Gallagher
16. NAME of Father Deseria Mombourquette
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Julia Sampson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Edward L. Gallagher
address 6543 Berlin St., Halifax
Relationship to deceased son
21. Place of burial Gate of Heaven Cemetery, Lr. Sackville
Date of burial March 17, 1971
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 14, 1971
CAUSE OF DEATH
(a) Cerebral thrombosis
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494300
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