Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Maud Elsie Bailly death at Lunenburg, Lunenburg County on June 29, 1971
Female Death Registration: Year: 1971 number: 4179
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004179
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Fishermen's Memorial Hospital
3. PRINT NAME OF DECEASED Bailly, Maud Elsie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 3 31, 1896
10. AGE in Years75 Months2 Days29 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry At home
13. Date last worked March/71 14. Total years
15. If married name of spouse Elvin D Bailly (Dec'd)
16. NAME of Father John Clifford Harris
17. BIRTHPLACE Halifax, NS
18. NAME of Mother Maud A Wilson
19. BIRTHPLACE Portsmouth, England
20. Signature of Informant Hilda M Harris
address 5300 Morris St. Apt. 25, Halifax, NS
Relationship to deceased sister
21. Place of burial Lunenburg, NS
Date of burial July 2, 1971
22. Undertaker Dana L Sweeney Funeral Home, Lunenburg, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 29, 1971
CAUSE OF DEATH
(a) Subarachnoid Hemorrhage
(b)
(c)
other
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