Female Death Registration: Year: 1971 number: 4061
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004061
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Dawson Memorial Hospital, Bridgewater, NS
3. PRINT NAME OF DECEASED Dauphinee, Eva Maud
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 25, 1887
10. AGE in Years84 Months1 Days26 | hrs or mins
11. Trade or profession at home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Albert Eichel
17. BIRTHPLACE NS
18. NAME of Mother Ellen Rabar
19. BIRTHPLACE NS
20. Signature of Informant Mr. Albert Dauphinee
address Wileville, Lun. Co.
Relationship to deceased Son
21. Place of burial West Northfield, Lun. Co., NS
Date of burial June 22, 1971
22. Undertaker Charles F Sweeny, Bridgewater, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 19, 1971
CAUSE OF DEATH
(a) Acute Renal Failure
(b) Myocardial Infarction
(c) Diabetes Mellitus
other Arteriosclerosis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496136
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