Female Death Registration: Year: 1971 number: 4488
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004488
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Civic Hospital
3. PRINT NAME OF DECEASED White, Theresa
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
divorced
8. BIRTHPLACE Dartmouth
9. DATE OF BIRTH 8 29, 1931
10. AGE in Years39 Months11 Days14 | 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
16. NAME of Father Donnolly Booth
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Cathy White
address 3860 Basinview Drive, Halifax, NS
Relationship to deceased Daughter
21. Place of burial Mount Olivet, Halifax, NS
Date of burial July 17, 1971
22. Undertaker J. Albert Walker, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 14, 1971
CAUSE OF DEATH
(a) Carcinoma of breast with metastasis to lungs and left ovary
(b)
(c)
other Hyperpyrexia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496563
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