Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Blanche Burgess death at Dartmouth, Halifax County on April 9, 1971
Female Death Registration: Year: 1971 number: 2776
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002776
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution Pleasant View Villa
3. PRINT NAME OF DECEASED Burgess, Blanche
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Waterloo, Lunen. County Nova Scotia
9. DATE OF BIRTH 4 7, 1889
10. AGE in Years82 Months0 Days2 | hrs or mins
11. Trade or profession Retired Collector
12. Kind of industry Salvation Army
13. Date last worked 1969 14. Total years 60
15. If married name of spouse Late Fred Burgess
16. NAME of Father Joanas Weagle
17. BIRTHPLACE Day Spring, Lunen. Co. NS
18. NAME of Mother Martha Hirtle
19. BIRTHPLACE Lunen. Co. NS
20. Signature of Informant Arthur Weagle
address 3640 Percy St. Halifax
Relationship to deceased Brother
21. Place of burial Fairview Cemetery, Hfx
Date of burial April 12, 1971
22. Undertaker Cruickshank Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 9, 1971
CAUSE OF DEATH
(a) Pneumonia
(b) Depressed
(c)
other
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