Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Shirley Denise Volk death at Advocate, Cumberland County on April 29, 1971
Female Death Registration: Year: 1971 number: 3182
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003182
1. PLACE OF DEATH County of Cumberland If in City or Town Advocate
If death occured in a hospital or institution Bayview Memorial Hospital
3. PRINT NAME OF DECEASED Volk, Shirley Denise
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Advocate Bay View Memorial Hospital
9. DATE OF BIRTH 4 29, 1971
10. AGE in Years Months Days | hrs or 5 mins
11. Trade or profession
12. Kind of industry Infant
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Karen Volk
19. BIRTHPLACE Halifax
20. Signature of Informant Hospital Records
address Bayview Memorial Hospital, Advocate
Relationship to deceased
21. Place of burial Advocate
Date of burial April 30, 1971
22. Undertaker S.W. Smith & Son Ltd., Parrsboro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 29, 1971
CAUSE OF DEATH
(a) Prematurity
(b)
(c)
other omphalocele
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