Female Death Registration: Year: 1971 number: 6320
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006320
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 Davies, Marilyn Rose
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Dartmouth
9. DATE OF BIRTH 4 22, 1940
10. AGE in Years31 Months6 Days13 | hrs or mins
11. Trade or profession House Duties
12. Kind of industry
13. Date last worked 1970 14. Total years 10 years
15. If married name of spouse Lloyd Davies
16. NAME of Father Archibald Swift
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie Ruggles
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Walter Baker
address 542 Portland Street, Dartmouth, NS
Relationship to deceased Sister
21. Place of burial Mt. Hermon Cemetery, Dartmouth, NS
Date of burial 6 November 1971
22. Undertaker Mattatall Funeral Service Ltd., Dartmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 4, 1971
CAUSE OF DEATH
(a) Carcinoma of Breast with Metastases
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498393
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