Female Death Registration: Year: 1971 number: 5828
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005828
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 Martell, Mary Jane
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Rockdale, Richmond County
9. DATE OF BIRTH 1 11, 1884
10. AGE in Years87 Months8 Days14 | 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 Abraham Martell (deceased)
16. NAME of Father Murdock Landry
17. BIRTHPLACE Rockdale, Richmond Co, NS
18. NAME of Mother Barbara Forrest
19. BIRTHPLACE Petit de Grat, Richmond Co., NS
20. Signature of Informant Mrs. E. Mombourquette
address Rockdale, Richmond Co, NS
Relationship to deceased Daughter
21. Place of burial Roman Catholic Cemetery, L'Ardoise, Richmond Co., NS
Date of burial 27 September 1971
22. Undertaker Alex A. Morrison, St. Peter's, Richmond Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 25, 1971
CAUSE OF DEATH
(a) Cancer of Vulva
(b) Malnutrition
(c)
other Dehydration
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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