Female Death Registration: Year: 1971 number: 3018
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003018
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution DOA St Joseph's Hospital
3. PRINT NAME OF DECEASED Brown, Mildred Lillian
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 8 9, 1909
10. AGE in Years61 Months8 Days9 | hrs or mins
11. Trade or profession Household duties
12. Kind of industry
13. Date last worked April 18/71 14. Total years
15. If married name of spouse Hector Brown (dec'd)
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant John J. Brown
address RR#3 Sydney
Relationship to deceased Son
21. Place of burial Forest Haven Memorial Gardens, Grand Lake Road, NS
Date of burial April 21, 1971
22. Undertaker V J McGillivray Funeral Homes Limited, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 18, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495094
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