Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Agnes Fox death at Annapolis Royal, Annapolis County on June 5, 1971
Female Death Registration: Year: 1971 number: 3760
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003760
1. PLACE OF DEATH County of Annapolis If in City or Town Annapolis Royal
3. PRINT NAME OF DECEASED Fox, Agnes
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE England
9. DATE OF BIRTH 6 24, 1885
10. AGE in Years85 Months11 Days12 | hrs or mins
11. Trade or profession Dress Designer
12. Kind of industry
13. Date last worked 18 yrs 14. Total years 47 yrs
15. If married name of spouse
16. NAME of Father Robert Fox
17. BIRTHPLACE Scotland
18. NAME of Mother Elizabeth Jane Joicey
19. BIRTHPLACE England
20. Signature of Informant Isabella Fox
address Granville Ferry, R R 2, NS
Relationship to deceased Sister
21. Place of burial Victoria Beach, NS
Date of burial June 7, 1971
22. Undertaker Chisholms Funeral Home, Granville Ferry, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 5, 1971
CAUSE OF DEATH
(a) Uremia
(b) Nephritis
(c)
other Diverticulitis Ulcers
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