Female Death Registration: Year: 1971 number: 4011
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004011
1. PLACE OF DEATH County of Annapolis If in City or Town Granville Beach
If death occured in a hospital or institution Manner's Rest Home
3. PRINT NAME OF DECEASED Short, Annie Jane
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Hillsburn, Anna. County
9. DATE OF BIRTH 6 5, 1884
10. AGE in Years87 Months Days17 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 2 1/2 yrs ago 14. Total years 65 yrs
15. If married name of spouse Newell Short
16. NAME of Father Burton Halliday
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Eliza Wade
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Newell E. Short
address Hillsburn
Relationship to deceased Husband
21. Place of burial Hillsburn, Anna. Co.
Date of burial June 24, 1971
22. Undertaker Chisholm's Funeral Home, Granville Ferry, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 22, 1971
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b) Cerebral Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496086
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