Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Myra Mae Gardiner death at Liverpool, Queens County on October 4, 1971

Female Death Registration: Year: 1971 number: 6052

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006052

1. PLACE OF DEATH   County of Queens If in City or Town Liverpool
If death occured in a hospital or institution Queens General Hospital

3. PRINT NAME OF DECEASED Gardiner, Myra Mae

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

married

8. BIRTHPLACE Caledonia, Queens County

9. DATE OF BIRTH 2  1, 1908

10. AGE in  Years63  Months8  Days3 | hrs or mins

11. Trade or profession Retired Housewife

12. Kind of industry

13. Date last worked February 1971       14. Total years

15. If married name of spouse Rogers Gardiner

16. NAME of Father Stanley S. Ball

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Jessie M. Foster

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Rogers > Gardiner

      address RR #1, Port Mouton, Queens Co., NS

      Relationship to deceased Husband

21. Place of burial Port Mouton, Queens Co., NS

      Date of burial 7 October 1971

22. Undertaker Chandlers' Funeral Service Ltd., Liverpool, Queens Co., NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 4, 1971

CAUSE OF DEATH

(a) Carcinoma of Signoid

(b)

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498125

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