Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Samantha Valentina Powers death at Halifax, Halifax County on May 23, 1971

Female Death Registration: Year: 1971 number: 3486

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 003486

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Isaak Walton Killam Hospital for Children

3. PRINT NAME OF DECEASED Powers, Samantha Valentina

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

single

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 1  28, 1971

10. AGE in  Years  Months3  Days15 | hrs or mins

11. Trade or profession

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse

16. NAME of Father Robert B. Powers

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Rita Lamrock

19. BIRTHPLACE Nova Scotia

20. Signature of Informant John Galierace

      address 5672 Fenwick Street

      Relationship to deceased Attending Physician at Death

21. Place of burial Clyde River, NS

      Date of burial May 26, 1971

22. Undertaker Kenny Funeral Service, Barrington, Shel. Co., NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH May 23, 1971

CAUSE OF DEATH

(a) Chronic Lung Disease

(b) Moderate Respiratory Distress Syndrome

(c) Congestive Heart Failure

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495562

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