Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Christina Burgess death at Berwick, Kings County on April 13, 1971
Female Death Registration: Year: 1971 number: 2917
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002917
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution Grand View Manor
3. PRINT NAME OF DECEASED Burgess, Christina
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 9, 1882
10. AGE in Years88 Months9 Days4 | hrs or mins
11. Trade or profession housework
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Charles Burgess (Dec'd)
16. NAME of Father Thomas Lawson
17. BIRTHPLACE Scotland
18. NAME of Mother Agnes Fearne
19. BIRTHPLACE Scotland
20. Signature of Informant Grand View Manor Records
address Berwick, NS
Relationship to deceased
21. Place of burial Waterville, NS
Date of burial April 16, 1971
22. Undertaker H C Lindsay Funeral Home Ltd, Berwick, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 13, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Arteriosclerotic Heart Disease
(c) Cerebral Arteriosclerosis
other Diabetes Mellitus
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