Female Death Registration: Year: 1971 number: 3518
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003518
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Dawson Memorial Hospital
3. PRINT NAME OF DECEASED Wagner, Dorothy Florence
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Dayspring, Lun. County
9. DATE OF BIRTH 1 10, 1902
10. AGE in Years69 Months4 Days3 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked April 1971 14. Total years 55 approx.
15. If married name of spouse Mr Robert Wagner (deceased)
16. NAME of Father John Smith
17. BIRTHPLACE Dayspring, Lun. Co., NS
18. NAME of Mother Alice Rodenhiser
19. BIRTHPLACE Maitland, Lun. Co., NS
20. Signature of Informant Mrs. Clayton Fraser
address Box 956, Bridgewater
Relationship to deceased Daughter
21. Place of burial Dayspring, Lun. Co., NS
Date of burial May 15, 1971
22. Undertaker Stan N Wamback, Bridgewater, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 13, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Cerebral Thrombosis
(c) Hypertension
other Diabetes Uraemia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495594
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