Female Death Registration: Year: 1971 number: 2348
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002348
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Chetwynd, Beulah Lillian
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 30, 1900
10. AGE in Years70 Months6 Days21 | hrs or mins
11. Trade or profession Housework at Home
12. Kind of industry
13. Date last worked Feb 1971 14. Total years 52 yrs
15. If married name of spouse Cleveland Chetwynd
16. NAME of Father Nathaniel Sears
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ella Nickerson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Genevieve Ellis
address East Baccaro, Shel. Co. N.S.
Relationship to deceased Daughter
21. Place of burial Port La Tour, NS
Date of burial March 24th 1971
22. Undertaker Kenney Funeral Service, Barrington, Shel. Co. NS Per J.A.K. Barrington Shel Co. N.S.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 21, 1971
CAUSE OF DEATH
(a) Acute Peritonitis
(b) Diverticulitis & Perforation
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494425
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