Female Death Registration: Year: 1971 number: 2532
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002532
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
If death occured in a hospital or institution Harbour View Hospital
3. PRINT NAME OF DECEASED Kempt, Annie Florenc
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 8, 1897
10. AGE in Years73 Months4 Days24 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry housekeeping
13. Date last worked Apr 1970 14. Total years 50
15. If married name of spouse Malcolm Kempt
16. NAME of Father James Walsh
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Josephine Devoe
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Elderick Kempt
address Kempt St., Florence, NS
Relationship to deceased son
21. Place of burial Brookside Cemetery, Sydney Mines, NS
Date of burial April 5, 1971
22. Undertaker Fillmore & Whitman Funeral Home Ltd., Sydney Mines, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 2, 1971
CAUSE OF DEATH
(a) Carcinoma of [sternocle?] with metastases
(b) Cancer Rt. Ovary
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494609
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