Female Death Registration: Year: 1971 number: 6536
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006536
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 Martell, Mary Ada
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE L'Ardoise, Richmond County
9. DATE OF BIRTH 2 2, 1911
10. AGE in Years60 Months8 Days30 | hrs or mins
11. Trade or profession Waitress
12. Kind of industry Cameo Restaurant
13. Date last worked 5 November 1971 14. Total years 10 years
15. If married name of spouse Harvey A. Martell
16. NAME of Father Arthur W. Sampson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Briand
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Wayne H. Martell
address 5 Hilden Drive, Apt 208, Halifax, NS
Relationship to deceased Son
21. Place of burial Gate of Heaven Cemetery, Lower Sackville, NS
Date of burial 17 November 1971
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 14, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498609
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