Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Carolyn Dawn Atwood death at Halifax, Halifax County on April 12, 1971
Female Death Registration: Year: 1971 number: 2700
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002700
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution I.W.K. Hospital of Sick Children
3. PRINT NAME OF DECEASED Atwood, Carolyn Dawn
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 29, 1958
10. AGE in Years12 Months8 Days14 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Vincent Atwood
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mabel Nickerson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Vincent Atwood
address Newellton, Shel. Co.
Relationship to deceased Father
21. Place of burial Lower Clark's Harbor
Date of burial April 14, 1971
22. Undertaker Kenney Funeral Service, Barrington, Shel. Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 12, 1971
CAUSE OF DEATH
(a) Acute Myotonia Congenita
(b)
(c)
other Respiratory Failure Ventricular Failure
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