Female Death Registration: Year: 1971 number: 2882
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002882
1. PLACE OF DEATH County of Cape If in City or Town Sydney Mines
If death occured in a hospital or institution Harbour View Hospital
3. PRINT NAME OF DECEASED Miller, Jane
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE England
9. DATE OF BIRTH 8 22, 1897
10. AGE in Years73 Months7 Days24 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry housekeeping
13. Date last worked Apr 1971 14. Total years 50
15. If married name of spouse Frank Miller
16. NAME of Father William Baxendale
17. BIRTHPLACE England
18. NAME of Mother Jane Martindale
19. BIRTHPLACE England
20. Signature of Informant Ernest Baxendale
address 614 Carefree Dr, Venice, Fla, USA
Relationship to deceased brother
21. Place of burial Lakeside Cemetery, North Sydney, NS
Date of burial April 19, 1971
22. Undertaker Fillmore & Whitman Funeral Home Ltd, Sydney Mines, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 16, 1971
CAUSE OF DEATH
(a) Perforated Intestine hernia (?)
(b) Plobulus (?)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494959
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