Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Alexandrine Penny death at Halifax, Halifax County on May 21, 1971
Female Death Registration: Year: 1971 number: 3550
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003550
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital, Halifax
3. PRINT NAME OF DECEASED Penny, Alexandrine
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE St. Pierre & Miquelon
9. DATE OF BIRTH 4 7, 1893
10. AGE in Years78 Months1 Days14 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry At home
13. Date last worked 14. Total years
15. If married name of spouse William Penny
16. NAME of Father Alfred Autin
17. BIRTHPLACE Miquelon
18. NAME of Mother Rose Petitpas
19. BIRTHPLACE Miquelon
20. Signature of Informant Mrs. Joseph Apesteguey
address 66 Regent Street, North Sydney, NS
Relationship to deceased Daughter
21. Place of burial Holy Cross Cemetery, North Sydney
Date of burial May 24, 1971
22. Undertaker W. J. Dooley Funeral Services Ltd., North Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 21, 1971
CAUSE OF DEATH
(a) Pulmonary Embolism
(b) Stokes Adams Syndrome
(c) Complete Heart Block intermittent
other
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