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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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495722
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