Female Death Registration: Year: 1971 number: 2570
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002570
1. PLACE OF DEATH County of Queens If in City or Town Liverpool
If death occured in a hospital or institution Queens General Hospital
3. PRINT NAME OF DECEASED Conrad, Anna Selina
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Eagle Head
9. DATE OF BIRTH 11 2, 1894
10. AGE in Years76 Months5 Days | hrs or mins
11. Trade or profession Retired
12. Kind of industry Housewife
13. Date last worked Aug 1970 14. Total years
15. If married name of spouse Lewis B. Conrad
16. NAME of Father William Colp
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lilla Lohnes
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Agnes E. Ross
address 844 Canterbury St., Roslindale, Mass., U.S.A.
Relationship to deceased Daughter
21. Place of burial West Berlin
Date of burial April 5, 1971
22. Undertaker Chandlers' Funeral Service Ltd., Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 2, 1971
CAUSE OF DEATH
(a) Advanced carcinoma stomach
(b)
(c)
other Arteriosclerotic heart disease Cardiac failure
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494647
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