Female Death Registration: Year: 1971 number: 4868
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004868
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Basque, Bridget Ann
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Mi'kmaq
7. Single, Married
married
8. BIRTHPLACE Barra Head
9. DATE OF BIRTH 7 24, 1928
10. AGE in Years42 Months11 Days19 | 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 John Basque
16. NAME of Father Michael L Paul
17. BIRTHPLACE Barra Head
18. NAME of Mother Janie Peck
19. BIRTHPLACE Nyanza, Nova Scotia
20. Signature of Informant John Basque
address Barra Head
Relationship to deceased Husband
21. Place of burial R.C. Cemetery, Barra Head
Date of burial July 16, 1971
22. Undertaker Alex A Morrison, St. Peters NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 12, 1971
CAUSE OF DEATH
(a) Toxic Myocarditis
(b) Hypertension
(c) Pulmonary Tuberculosis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496943
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