Female Death Registration: Year: 1971 number: 5448
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005448
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Fairview Villa
3. PRINT NAME OF DECEASED Brackett, Mary Rose
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Herring Cove
9. DATE OF BIRTH 7 15, 1883
10. AGE in Years88 Months1 Days29 | hrs or mins
11. Trade or profession House duties
12. Kind of industry at home
13. Date last worked 1965 14. Total years 67
15. If married name of spouse late Bernard Brackett
16. NAME of Father Michael Sullivan
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Susan Hayes
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Bernard P. Brackett
address 1746 Vernon Street, Halifax
Relationship to deceased son
21. Place of burial Mount Olivet Cemetery, Hfx
Date of burial Sept 16, 1971
22. Undertaker Halifax Funeral Home, Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 13, 1971
CAUSE OF DEATH
(a) Cardiac arrest
(b) Hypertension
(c) and Arteriosclerotic Heart Disease
other Diabetes mellitus
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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