Female Death Registration: Year: 1971 number: 2796
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002796
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Fishermen's Memorial Hospital
3. PRINT NAME OF DECEASED Cooper, Donna Darlene
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Lunenburg
9. DATE OF BIRTH 4 11, 1970
10. AGE in Years Months11 Days13 | 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 Gilbert Cooper
17. BIRTHPLACE Lunenburg, NS
18. NAME of Mother Dorothy Ernst
19. BIRTHPLACE Western Shore, Lun. Co.
20. Signature of Informant Gilbert Cooper
address 55 Montague St. Lunenburg, NS
Relationship to deceased Father
21. Place of burial Lunenburg, NS
Date of burial March 26, 1971
22. Undertaker Dana L Sweeney Funeral Home Ltd, Lunenburg, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 24, 1971
CAUSE OF DEATH
(a) Ruptured Stomach
(b) Congenital absence of Muscularis mucosa
(c)
other Viral (Ineremenie)?
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494873
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