Female Death Registration: Year: 1971 number: 6089
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006089
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Moser, Leeta Mary
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Moose Head
9. DATE OF BIRTH 9 25, 1908
10. AGE in Years63 Months0 Days23 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse William Moser
16. NAME of Father William Shiers
17. BIRTHPLACE Moose Head
18. NAME of Mother Eliza Moser
19. BIRTHPLACE Moser River
20. Signature of Informant Jean Jewers
address 35 Fairbanks St. Dartmouth
Relationship to deceased Daughter
21. Place of burial Moser River
Date of burial October 20, 1971
22. Undertaker Veinottes Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 17, 1971
CAUSE OF DEATH
(a) Lobar Pneumonia
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498162
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