Female Death Registration: Year: 1971 number: 2684
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002684
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution 6082 Shirley St., Halifax
3. PRINT NAME OF DECEASED Coolen, Margaret Leah
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 9 18, 1897
10. AGE in Years73 Months6 Days18 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Houseduties
13. Date last worked Apr 1970 14. Total years 50 yrs
15. If married name of spouse Patrick Leo Coolen
16. NAME of Father Luke Harris
17. BIRTHPLACE Halifax, Nova Scotia
18. NAME of Mother Annie Melvin
19. BIRTHPLACE Halifax, Nova Scotia
20. Signature of Informant Miss Joyce Coolen
address 6082 Shirley Street, Halifax
Relationship to deceased Daughter
21. Place of burial Gate of Heaven, Lr. Sackville
Date of burial April 8, 1971
22. Undertaker Cruikshank Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 5, 1971
CAUSE OF DEATH
(a) Carcinotosis
(b) Esophageous Carcinoma
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494761
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