Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Anna Agnes Hoffman death at Springhill, Cumberland County on May 29, 1971
Female Death Registration: Year: 1971 number: 3681
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003681
1. PLACE OF DEATH County of Cumberland If in City or Town Springhill
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Hoffman, Anna Agnes
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Lithuanian
7. Single, Married
married
8. BIRTHPLACE Lithuania
9. DATE OF BIRTH 10 16, 1904
10. AGE in Years66 Months7 Days13 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked May 29/71 14. Total years 32 yrs
15. If married name of spouse Rudolph Hoffman
16. NAME of Father Joseph Davis
17. BIRTHPLACE Lithuania
18. NAME of Mother Agnes Bakayt
19. BIRTHPLACE Lithuania
20. Signature of Informant Rudolph Hoffman
address 13 Elm St. Springhill, NS
Relationship to deceased Husband
21. Place of burial Springhill, NS
Date of burial June 1, 1971
22. Undertaker A.H. Brown Funeral Service Ltd, Springhill, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 29, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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