Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Amelia Hiacinth Levy death at Halifax, Halifax County on July 17, 1971
Female Death Registration: Year: 1971 number: 4601
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004601
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Levy, Amelia Hiacinth
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 3, 1900
10. AGE in Years71 Months4 Days14 | hrs or mins
11. Trade or profession Housekeeper
12. Kind of industry Housekeeping
13. Date last worked May 25 1971 14. Total years 55
15. If married name of spouse
16. NAME of Father Cyrus Levy
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Amelia Parker
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Calvin A Parker
address RR 1, Lake Charlotte, NS
Relationship to deceased Cousin
21. Place of burial Porters Lake, NS
Date of burial July 20 1971
22. Undertaker Rowlings Funeral Service, Musquodoboit Harbour, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 17, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infraction
(b)
(c)
other Cardiogenic Shock, Heart Blockage & Congestive Cardiac Failure
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