Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Alice Jane Wagner death at Bridgewater, Lunenburg County on April 4, 1971
Female Death Registration: Year: 1971 number: 2798
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002798
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Wagner, Alice Jane
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 30, 1885
10. AGE in Years86 Months Days5 | hrs or mins
11. Trade or profession at home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Joseph Wagner
16. NAME of Father David Weagle
17. BIRTHPLACE NS
18. NAME of Mother Sophia Ernst
19. BIRTHPLACE NS
20. Signature of Informant Mr Joseph Wagner
address 52Stow St. Bridgewater, NS
Relationship to deceased husband
21. Place of burial Bridgewater, Lun. Co. NS
Date of burial April 8, 1971
22. Undertaker Charles Sweeney, Bridgewater, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 4, 1971
CAUSE OF DEATH
(a) Massive Pulmonary Embolism
(b) Severe Osteoarthhhritis hips & Knees
(c) Immobility in bed causing thrombosis leg veins
other Gross obesity
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