Female Death Registration: Year: 1971 number: 2913
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002913
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Fowler, Alena Alice
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Walton
9. DATE OF BIRTH 11 29, 1885
10. AGE in Years85 Months4 Days20 | hrs or mins
11. Trade or profession housewife
12. Kind of industry
13. Date last worked 1969 14. Total years 65 yrs
15. If married name of spouse William Fowler (deceased)
16. NAME of Father Fred Clark
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sabra Davis
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Claude Fowler
address Walton, Hants Co, NS
Relationship to deceased Son
21. Place of burial Walton Cemetery, Walton
Date of burial April 21, 1971
22. Undertaker Lohnes Funeral Service Ltd, Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 18, 1971
CAUSE OF DEATH
(a) Lymphosarcoma
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494990
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