Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Gloria Theresa Crowell death at Halifax, Halifax County on September 3, 1971
Female Death Registration: Year: 1971 number: 5435
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005435
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Grace Maternity Hospital
3. PRINT NAME OF DECEASED Crowell, Gloria Theresa
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Grace Maternity Hospital, Halifax
9. DATE OF BIRTH 9 1, 1971
10. AGE in Years Months Days2 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Allan Crowell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Anne Pelrine
19. BIRTHPLACE Chezzetcook
20. Signature of Informant M. Kempton
address Grace Maternity Hospital
Relationship to deceased
21. Place of burial Hospital Burial
Date of burial Sept 3, 1971
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 3, 1971
CAUSE OF DEATH
(a) Congenital Heart Disease & Congenital Malformation, Trisomy E
(b) Heart Failure
(c)
other
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