Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Bernice Rosetta Ruth Wagner death at Halifax, Halifax County on September 10, 1971

Female Death Registration: Year: 1971 number: 5439

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005439

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital

3. PRINT NAME OF DECEASED Wagner, Bernice Rosetta Ruth

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

German

7. Single, Married

single

8. BIRTHPLACE Midville Branch, Lun. County

9. DATE OF BIRTH 4  15, 1898

10. AGE in  Years73  Months4  Days26 | hrs or mins

11. Trade or profession Housekeeper

12. Kind of industry Housekeeping

13. Date last worked 1969       14. Total years Approx. 65 yrs.

15. If married name of spouse

16. NAME of Father Henry Allison Wagner

17. BIRTHPLACE Midville Branch, Lun. Co., NS

18. NAME of Mother Ida Pernetta Beck

19. BIRTHPLACE Upper Branch, Lun. Co., NS

20. Signature of Informant Mrs. Joseph Selig

      address RR1 Bridgewater NS

      Relationship to deceased Sister

21. Place of burial Upper Branch, Lun, Co,, NS

      Date of burial September 13, 1971

22. Undertaker Stan N. Wamback, Bridgewater, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 10, 1971

CAUSE OF DEATH

(a) Chronic Lymphatic Leukemia

(b)

(c)

other Anemia, Thrombocytopenia

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