Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Una Wamboldt death at Halifax, Halifax County on September 21, 1971
Female Death Registration: Year: 1971 number: 5685
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005685
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Wamboldt, Una
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE South Brookfield, Queens County Nova Scotia
9. DATE OF BIRTH 12 3, 1921
10. AGE in Years49 Months4 Days18 | hrs or mins
11. Trade or profession at home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Donald Wamboldt
16. NAME of Father Clifton Wamboldt
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Gill
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Donald Wamboldt
address South Brookfield Queens Co. N.S.
Relationship to deceased Husband
21. Place of burial South Brookfield, Queens Co. N.S.
Date of burial September 25, 1971
22. Undertaker Charles Sweeney Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 21, 1971
CAUSE OF DEATH
(a) Pulmonary Hemorrhage - hours
(b) Acute Myelo Monocytic Leukemia - 2 months
(c)
other
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