Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Bertha Winnifred Moores death at Yarmouth, Yarmouth County on July 9, 1971
Female Death Registration: Year: 1971 number: 4469
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004469
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Moores, Bertha Winnifred
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Brooklyn, Yarmouth County
9. DATE OF BIRTH 11 19, 1901
10. AGE in Years69 Months7 Days20 | 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 Harold Moores
16. NAME of Father Walter Churchill
17. BIRTHPLACE Yarmouth Co.
18. NAME of Mother Sarah Pitman
19. BIRTHPLACE Brooklyn, Yar. Co.
20. Signature of Informant Mrs. Irma Holmes
address Lakeside Drive, Yar. Co.
Relationship to deceased Daughter
21. Place of burial Chebogue, Yar. Co.
Date of burial July 11, 1971
22. Undertaker Sweeny's Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 9, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) Arteriosclerotic Heart Disease
(c) Hypertension
other
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