Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Jane Maddox death at Halifax, Halifax County on June 17, 1971
Female Death Registration: Year: 1971 number: 3975
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003975
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Civic Hospital
3. PRINT NAME OF DECEASED Maddox, Mary Jane
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Cape Breton
9. DATE OF BIRTH 1 1, 1880
10. AGE in Years91 Months5 Days16 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Robert Maddox
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Horner
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Wilfred George
address 2583 Creighton Street, Hfx.
Relationship to deceased Nephew
21. Place of burial Mt. Olivet Cemetery, Hfx.
Date of burial June 19, 1971
22. Undertaker Snow & Co. Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 17, 1971
CAUSE OF DEATH
(a) Uraemia
(b) Renal Failure
(c) Generalized Arteriosclerosis
other Chronic Brain Syndrome
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