Female Death Registration: Year: 1971 number: 2499
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002499
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution V.G. Hosp.
3. PRINT NAME OF DECEASED Archibald, Eileen Bernadette
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 20, 1919
10. AGE in Years51 Months7 Days9 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry at home
13. Date last worked March 19 14. Total years Life
15. If married name of spouse Samuel Archibald
16. NAME of Father George J. De Louchry
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Catherine Hughes
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Samuel Archibald
address 52 Tulip St., Dart.
Relationship to deceased Husband
21. Place of burial St. Peters Cem. Dart.
Date of burial April 1, 1971
22. Undertaker Dart. Funeral Home, F.A. McDonald
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 29, 1971
CAUSE OF DEATH
(a) Multiple chest injuries
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494576
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