Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Rose Mary Gallant death at Halifax, Halifax County on May 25, 1971
Female Death Registration: Year: 1971 number: 3637
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003637
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Gallant, Rose Mary
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Lot #6, Prince Edward Island
9. DATE OF BIRTH 4 7, 1901
10. AGE in Years70 Months1 Days18 | hrs or mins
11. Trade or profession House Duties
12. Kind of industry
13. Date last worked Dec. '70 14. Total years 50 yrs
15. If married name of spouse Isadore Gallant
16. NAME of Father Maxime Gallant
17. BIRTHPLACE Prince Edward Island
18. NAME of Mother Unavailable Unavailable
19. BIRTHPLACE Prince Edward Island
20. Signature of Informant Mr. Pius Gallant
address 27 Dartmoor Crescent, Bedford
Relationship to deceased Son
21. Place of burial Gate of Heaven, Lr. Sackville, NS
Date of burial May 28, 1971
22. Undertaker Cruikshank Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 25, 1971
CAUSE OF DEATH
(a) Myeloid Metaplasia of Spleen
(b)
(c)
other Pulmonary Collapse
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