Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Mable Liza Perkins death at Welton Corner, Kings County on September 2, 1971

Female Death Registration: Year: 1971 number: 5523

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005523

1. PLACE OF DEATH   County of Kings If in City or Town Welton Corner
If death occured in a hospital or institution Wards Rest Home

3. PRINT NAME OF DECEASED Perkins, Mable Liza

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

married

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 4  30, 1891

10. AGE in  Years80  Months4  Days2 | hrs or mins

11. Trade or profession Housewife

12. Kind of industry

13. Date last worked Jan 1969       14. Total years life

15. If married name of spouse James B. Perkins

16. NAME of Father Thomas Charlton

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Rose Ella Chute

19. BIRTHPLACE Nova Scotia

20. Signature of Informant James B. Perkins

      address Brooklyn, RR #1 Middleton, Anna. Co., NS

      Relationship to deceased Husband

21. Place of burial Nictaux, Annapolis Co., NS

      Date of burial September 4, 1971

22. Undertaker Warren T. Roop Ltd., Middleton, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 2, 1971

CAUSE OF DEATH

(a) Myocardial Infarction

(b) Arteriosclerotic Heart Disease

(c)

other Bronchopneumonia

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