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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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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