Female Death Registration: Year: 1971 number: 4042
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004042
1. PLACE OF DEATH County of Halifax If in City or Town Cole Harbour
If death occured in a hospital or institution 20A Beaver Crescent, Cole Harbour
3. PRINT NAME OF DECEASED Crowell, Baby Girl
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 6 20, 1971
10. AGE in Years Months Days | hrs or 10 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 Lloyd Crowell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Patricia Longe
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Lloyd Crowell
address 20A Beaver Crescent, Cole Harbour
Relationship to deceased Father
21. Place of burial Christ Church, Dartmouth
Date of burial June 22, 1971
22. Undertaker Mattatall Funeral Services Ltd. Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 20, 1971
CAUSE OF DEATH
(a) Prematurity
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496117
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