Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Elizabeth Jane Cameron death at Halifax, Halifax County on May 31, 1971

Female Death Registration: Year: 1971 number: 3646

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 003646

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital

3. PRINT NAME OF DECEASED Cameron, Elizabeth Jane

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

Scottish

7. Single, Married

widowed

8. BIRTHPLACE Cape Breton

9. DATE OF BIRTH 4  19, 1888

10. AGE in  Years83  Months1  Days12 | hrs or mins

11. Trade or profession

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse deceased

16. NAME of Father Samuel Davies

17. BIRTHPLACE Wales

18. NAME of Mother Eliz. Roberts

19. BIRTHPLACE Wales

20. Signature of Informant Rev. J. R. Davies

      address 1165 Rockcliffe Street, Hfx.

      Relationship to deceased Nephew

21. Place of burial Riverside, New Glasgow

      Date of burial June 4, 1971

22. Undertaker Snow & Co. Ltd.

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH May 31, 1971

CAUSE OF DEATH

(a) Cerebrovascular Accident

(b) Arteriosclerosis

(c)

other fracture left hip

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