Female Death Registration: Year: 1971 number: 2834
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002834
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Gray, Elizabeth
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Sambro
9. DATE OF BIRTH 11 23, 1884
10. AGE in Years86 Months3 Days6 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Elias Gray
16. NAME of Father Georgie Findlay
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Matilda
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Clive J. Gray
address Site 8 Box 1 R.R. #5, Armdale, NS
Relationship to deceased Son
21. Place of burial St. James Church Cemetery, Sambro, NS
Date of burial March 4, 1971
22. Undertaker J Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 1, 1971
CAUSE OF DEATH
(a) Burns to Buttocks and old age and debilitation
(b)
(c)
other Slipped & fell into tub of boiling water
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494911
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