Female Death Registration: Year: 1971 number: 4995
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004995
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Fairview Villa Nursing Home
3. PRINT NAME OF DECEASED Semple, Margaret Hunter
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 3 3, 1896
10. AGE in Years75 Months5 Days13 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry At home
13. Date last worked 1965 14. Total years 53
15. If married name of spouse Howard M. Semple
16. NAME of Father Farnham Doty
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Margaret MacGee
19. BIRTHPLACE New Brunswick
20. Signature of Informant Mr. Hedley Doty
address 51 Hazelhome Drive, Hfx, NS
Relationship to deceased Cousin
21. Place of burial Alma, NS
Date of burial Aug 19, 1971
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 16, 1971
CAUSE OF DEATH
(a) Cerebrovascular Disease
(b) Peripheral Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497070
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