Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Maggie Nioma Hatfield death at Berwick, Kings County on September 21, 1971

Female Death Registration: Year: 1971 number: 5783

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005783

1. PLACE OF DEATH   County of Kings If in City or Town Berwick
If death occured in a hospital or institution Western Kings Memorial Hospital

3. PRINT NAME OF DECEASED Hatfield, Maggie Nioma

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE Yarmouth

9. DATE OF BIRTH   , 1911

10. AGE in  Years60  Months  Days | hrs or mins

11. Trade or profession Retired

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse

16. NAME of Father  

17. BIRTHPLACE

18. NAME of Mother  

19. BIRTHPLACE

20. Signature of Informant Kings County Hospital for Mrs. Ernest Height

      address Doucetville

      Relationship to deceased Sister

21. Place of burial Holy Cross, Kentville

      Date of burial September 23, 1971

22. Undertaker H.C. Lindsay, Berwick

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 21, 1971

CAUSE OF DEATH

(a) Perf. gastore ulcer

(b)

(c)

other

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