Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Bertha Marie Whitehouse death at Port Hawkesbury, Inverness County on June 27, 1971
Male Death Registration: Year: 1971 number: 4949
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004949
1. PLACE OF DEATH County of Inverness If in City or Town Port Hawkesbury
If death occured in a hospital or institution Port Hawkesbury, NS
3. PRINT NAME OF DECEASED Whitehouse, Bertha Marie
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE New Waterford
9. DATE OF BIRTH 7 5, 1918
10. AGE in Years52 Months11 Days22 | hrs or mins
11. Trade or profession Cook
12. Kind of industry
13. Date last worked June 20/71 14. Total years 3 yrs
15. If married name of spouse Harry Whitehouse
16. NAME of Father William Jones
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Catherine Strong
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Marie Oakley
address 112 Williams Lake Rd, Halifax
Relationship to deceased Daughter
21. Place of burial New Waterford, NS
Date of burial July 1 1971
22. Undertaker Thompson and Haverstock Funeral Home, Port hawkesbury, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 27, 1971
CAUSE OF DEATH
(a) Acute barbituate and alcohol poisoning
(b)
(c)
other ? accident or suicide
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