Female Death Registration: Year: 1971 number: 3674
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003674
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Colchester Hospital
3. PRINT NAME OF DECEASED Boulter, Margaret Maude
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English Welsh
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 14, 1892
10. AGE in Years78 Months8 Days1 | hrs or mins
11. Trade or profession At home
12. Kind of industry
13. Date last worked 1971 14. Total years 58
15. If married name of spouse
16. NAME of Father James Davis
17. BIRTHPLACE Wales
18. NAME of Mother Georgina Leggett
19. BIRTHPLACE England
20. Signature of Informant Mrs. Mae MacLean
address Londonderry, Col. Co. NS
Relationship to deceased Daughter
21. Place of burial Londonderry, NS
Date of burial May 18, 1971
22. Undertaker McCulloch and Patriquin Funeral Home, Great Village, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 15, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b)
(c)
other Uremia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495750
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