Female Death Registration: Year: 1971 number: 3942
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003942
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution West Kings Memorial Hospital
3. PRINT NAME OF DECEASED Butler, Flossie May
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Springfield, Ann. Co
9. DATE OF BIRTH 3 29, 1891
10. AGE in Years80 Months2 Days9 | hrs or mins
11. Trade or profession Retired Housewife
12. Kind of industry housework
13. Date last worked 14. Total years
15. If married name of spouse Thomas Butler (Dec'd)
16. NAME of Father David Achor
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Alice
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Gordon Butler
address North Alton, Kings Co. NS
Relationship to deceased Son
21. Place of burial Elm Grove, Kentville
Date of burial June 10, 1971
22. Undertaker HC Lindsay Funeral Home Ltd, Kentville NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 8, 1971
CAUSE OF DEATH
(a) pulmonary Edema
(b) Arteriosclerotic Heart Disease
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496018
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