Female Death Registration: Year: 1971 number: 2622
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002622
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Colchester Hospital
3. PRINT NAME OF DECEASED Willis, Blanche Matilda
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
widowed
8. BIRTHPLACE Mount Uniacke
9. DATE OF BIRTH 8 24, 1887
10. AGE in Years83 Months6 Days18 | hrs or mins
11. Trade or profession Houseduties
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Edward Stoutley
17. BIRTHPLACE NS
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant James Wallis
address 242 Young St, Truro, NS
Relationship to deceased son
21. Place of burial Terrace Hill Cemetery, Truro
Date of burial March 18, 1971
22. Undertaker P B Kennedy, Truro, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 14, 1971
CAUSE OF DEATH
(a) Cerebrovascular Accident
(b) Arteriosclerotic Heart Disease
(c)
other
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494699
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