Female Death Registration: Year: 1971 number: 5273
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005273
1. PLACE OF DEATH County of Halifax If in City or Town Bedford
3. PRINT NAME OF DECEASED Collins, Jane Burgess
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Spencer's Island
9. DATE OF BIRTH 7 19, 1923
10. AGE in Years48 Months1 Days3 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1969 14. Total years 25
15. If married name of spouse Leonard Collins
16. NAME of Father Archie Bethune
17. BIRTHPLACE NS
18. NAME of Mother Greta MacEntee
19. BIRTHPLACE NS
20. Signature of Informant Leonard Collins
address 18 Central St. Bedford, NS
Relationship to deceased Husband
21. Place of burial Advocate, NS
Date of burial August 25, 1971
22. Undertaker S. W. Smith & Son Ltd., Parrsboro, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 22, 1971
CAUSE OF DEATH
(a) Carcinomatosis
(b) Carcinoma of Colon
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497347
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