Female Death Registration: Year: 1971 number: 5684
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005684
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 Pate, Gertrude
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Cape Breton
9. DATE OF BIRTH 10 28, 1908
10. AGE in Years62 Months1 Days6 | hrs or mins
11. Trade or profession
12. Kind of industry Royal Typewriter Co.
13. Date last worked 1971 14. Total years 30 years
15. If married name of spouse
16. NAME of Father Martin Pate
17. BIRTHPLACE Cape Breton
18. NAME of Mother Seraphine Sampson
19. BIRTHPLACE Cape Breton
20. Signature of Informant Miss. Lily Pate
address 31 Sussex Street, Halifax, NS
Relationship to deceased Sister
21. Place of burial Gate of Heaven, Lower Sackville, NS
Date of burial 24 September 1971
22. Undertaker R. B. Lindsay, Halifax, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 21, 1971
CAUSE OF DEATH
(a) Retroperitoneal Hemorrhage
(b)
(c) Heparin Therapy
other Pulmonary Embolism and Right Heart Failure
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497758
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