Female Death Registration: Year: 1971 number: 4660
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004660
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Colchester County Hospital,
3. PRINT NAME OF DECEASED Roberts, Jean Lenora
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish & English
7. Single, Married
married
8. BIRTHPLACE Milford, Hants Co
9. DATE OF BIRTH 10 25, 1932
10. AGE in Years38 Months8 Days29 | hrs or mins
11. Trade or profession House wife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Vincent Roberts
16. NAME of Father Michael Mitchell
17. BIRTHPLACE Belfast, Ireland
18. NAME of Mother Eva Carroll
19. BIRTHPLACE NS
20. Signature of Informant Vincent Roberts
address Shubenacadie, East, NS
Relationship to deceased Husband
21. Place of burial Stewiacke East, NS
Date of burial 27 July'71
22. Undertaker Ettinger Funeral Service, Shubenacadie
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 24, 1971
CAUSE OF DEATH
(a) Massive Pulmonary Embolus
(b) Long continued use of contraceptive pill.
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496735
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