Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Luella May Benjamin death at Berwick, Kings County on July 7, 1971
Female Death Registration: Year: 1971 number: 4676
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004676
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution Western Kings Memorial Hospital
3. PRINT NAME OF DECEASED Benjamin, Luella May
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Kingsport, Kings County
9. DATE OF BIRTH 5 1, 1917
10. AGE in Years54 Months2 Days6 | 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 Victor Benjamin
16. NAME of Father percy White
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Edith Brewster
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Victor Benjamin
address RR #5, Berwick, Kings Co., NS
Relationship to deceased Husband
21. Place of burial Berwick, NS
Date of burial July 9, 1971
22. Undertaker H. C. Lindsay Funeral Homes Ltd., Berwick
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 7, 1971
CAUSE OF DEATH
(a) Hypostatic Pneumonia
(b) Carcinoma of Stomach
(c) Pulmonary Metastases
other Obstructive Jaundice with Carcinoma from metastases from stomach; Gross Malnutrition
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