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