Female Death Registration: Year: 1971 number: 5063
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005063
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Glen Haven Manor
3. PRINT NAME OF DECEASED Grant, Elizabeth Jane
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 12, 1879
10. AGE in Years91 Months7 Days21 | hrs or mins
11. Trade or profession retired Registered Nurse
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Robert Grant
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Catherine Clark
19. BIRTHPLACE Nova Scotia
20. Signature of Informant M. Katherine Cock
address R R 3 Salt Springs, NS
Relationship to deceased Niece
21. Place of burial Durham, Pictou Co. NS
Date of burial August 4, 1971
22. Undertaker Eagles Funeral Home, Westville, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 2, 1971
CAUSE OF DEATH
(a) Hypostatic Pneumonia
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497137
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