Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Patricia Mary Bush death at Halifax, Halifax County on November 11, 1971
Female Death Registration: Year: 1971 number: 6449
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006449
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Izaak Walton Killam Hospital for Children
3. PRINT NAME OF DECEASED Bush, Patricia Mary
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
White
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 1, 1964
10. AGE in Years7 Months9 Days10 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Leon Bush
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Marjorie Hermon
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Marjorie Bush
address Bush Island, Lun. Co.
Relationship to deceased Mother
21. Place of burial West Dublin, Lun. Co.
Date of burial November 15, 1971
22. Undertaker Charles Sweeney, B'water
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 11, 1971
CAUSE OF DEATH
(a) Perforation of Stomach
(b) Acute Erosion
(c)
other Mental Retardation
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