Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Annabelle Derusia Gjerde death at Halifax, Halifax County on June 14, 1971

Female Death Registration: Year: 1971 number: 4594

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 004594

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 Gjerde, Annabelle Derusia

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

German

7. Single, Married

married

8. BIRTHPLACE Ryley, Alta.

9. DATE OF BIRTH 6  6, 1914

10. AGE in  Years57  Months  Days8 | hrs or mins

11. Trade or profession Retired

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse Robert Andrew Gjerde

16. NAME of Father Gary Sykes

17. BIRTHPLACE U S A

18. NAME of Mother  

19. BIRTHPLACE

20. Signature of Informant Mr Robert Gjerde

      address 24 A Settle St. Dartmouth

      Relationship to deceased husband

21. Place of burial Hillcrest Memorial Gardens, Lr. Sackville, Hfx. Co. NS

      Date of burial June 16, 1971

22. Undertaker A L Mattatall Funeral Service Ltd. Dartmouth

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH June 14, 1971

CAUSE OF DEATH

(a) Multiple fractures

(b) Carcinoma of Breast with Osseous metastases

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496669

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