Female Death Registration: Year: 1971 number: 4336
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004336
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Burgess, Sara Taggart
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 30, 1907
10. AGE in Years64 Months3 Days | 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 George Burgess
16. NAME of Father Sidney Greer
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie Skinner
19. BIRTHPLACE Nova Scotia
20. Signature of Informant George W. Burgess
address 5415 Dufferin St. Hfx. NS
Relationship to deceased Husband
21. Place of burial River Hebert, Cumb. Co. NS
Date of burial July 3, 1971
22. Undertaker Snow & Co., Ltd, Halifax, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 1, 1971
CAUSE OF DEATH
(a) Cerebral Metastases
(b) Carcinoma of Breast
(c)
other Diabetes Mellitus
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496411
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