Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Nancy Amanda Gould death at Berwick, Kings County on June 28, 1971
Female Death Registration: Year: 1971 number: 4285
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004285
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution Western Kings Memorial Hospital
3. PRINT NAME OF DECEASED Gould, Nancy Amanda
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Harbourville, Kings County
9. DATE OF BIRTH 9 24, 1875
10. AGE in Years95 Months9 Days4 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse John Edward Gould
16. NAME of Father James Moody
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Love Perry
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Willis Gould
address Harbourville, NS
Relationship to deceased Son
21. Place of burial Berwick, NS
Date of burial June 30, 1971
22. Undertaker H. C. Lindsay Funeral Homes Ltd., Berwick
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 28, 1971
CAUSE OF DEATH
(a) Hypostatic Pneumonia
(b) Cerebral vascular Accident
(c)
other
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