Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Florence Selena Penny death at Middleton, Annapolis County on September 24, 1971
Female Death Registration: Year: 1971 number: 5719
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005719
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldiers' Memorial Hospital
3. PRINT NAME OF DECEASED Penny, Florence Selena
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
widowed
8. BIRTHPLACE Bridgewater
9. DATE OF BIRTH 8 30, 1885
10. AGE in Years86 Months Days24 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1955 14. Total years Life
15. If married name of spouse Charles Burton Penny
16. NAME of Father Albert Conrad
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant William Penny
address Kingston, Nova Scotia
Relationship to deceased Son
21. Place of burial Bridgewater, Nova Scotia
Date of burial 28 September 1971
22. Undertaker Warren T. Roop Limited, Middleton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 24, 1971
CAUSE OF DEATH
(a) Partial Bowel Obstruction
(b) Myocardial Failure
(c) Cardiovascular Disease
other Pneumonitis
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