Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Vera Pearl Hines death at Dutch Settlement, Halifax County on October 13, 1971
Female Death Registration: Year: 1971 number: 6125
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006125
1. PLACE OF DEATH County of Halifax If in City or Town Dutch Settlement
3. PRINT NAME OF DECEASED Hines, Vera Pearl
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 22, 1897
10. AGE in Years74 Months8 Days21 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Harry Hines
16. NAME of Father Oliver Simpson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lavenia Isenor
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Aubrey Hines
address Shubenacadie
Relationship to deceased Son
21. Place of burial Dutch Settlement
Date of burial October 16, 1971
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 13, 1971
CAUSE OF DEATH
(a) Mylogenous leukemia
(b)
(c)
other
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