Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Anna Heath Cousins death at Halifax, Halifax County on June 8, 1971
Female Death Registration: Year: 1971 number: 3747
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003747
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Fairview Villa
3. PRINT NAME OF DECEASED Cousins, Anna Heath
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Springhill
9. DATE OF BIRTH 8 24, 1890
10. AGE in Years80 Months9 Days15 | hrs or mins
11. Trade or profession Retired
12. Kind of industry House Duties
13. Date last worked 1970's 14. Total years 55 yrs
15. If married name of spouse late Harry S. Cousins
16. NAME of Father E. H. Parson
17. BIRTHPLACE Quebec
18. NAME of Mother Annie MacKay
19. BIRTHPLACE Quebec
20. Signature of Informant Mr. George Neily
address 1119 Tower Road, Apt 403, Hfx.
Relationship to deceased Cousin
21. Place of burial Camphill Cemetery, Hfx.
Date of burial June 10, 1971
22. Undertaker Cruikshank Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 8, 1971
CAUSE OF DEATH
(a) Stroke
(b) Pneumonia
(c)
other
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