Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Thekla Dorn death at Pugwash, Cumberland County on July 30, 1971
Female Death Registration: Year: 1971 number: 5024
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005024
1. PLACE OF DEATH County of Cumberland If in City or Town Pugwash
If death occured in a hospital or institution Sunrise Villa Nursing Home
3. PRINT NAME OF DECEASED Dorn, Thekla
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Germany
9. DATE OF BIRTH 9 21, 1884
10. AGE in Years86 Months10 Days9 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1959 14. Total years 62
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Catherine Ott
19. BIRTHPLACE Germany
20. Signature of Informant August Dorn
address R.R. #2, Oxford, Nova Scotia
Relationship to deceased Son
21. Place of burial Pugwash, Nova Scotia
Date of burial August 2, 1971
22. Undertaker W.I. Mundle, Pugwash, Nova Scotia
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 30, 1971
CAUSE OF DEATH
(a) Arteriosclerotic heart disease
(b)
(c)
other
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