Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Grace Lois Buckler death at Halifax, Halifax County on November 20, 1971
Female Death Registration: Year: 1971 number: 6698
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006698
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 Buckler, Grace Lois
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 29, 1912
10. AGE in Years59 Months6 Days22 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry n/a
13. Date last worked 14. Total years
15. If married name of spouse Michael (separated)
16. NAME of Father Isaac Day
17. BIRTHPLACE NS
18. NAME of Mother
19. BIRTHPLACE NS
20. Signature of Informant Tom Wakely
address 3484 McAlpine Ave, Halifax
Relationship to deceased Son-in-law
21. Place of burial Fairview Cemetery
Date of burial Nov 23, 1971
22. Undertaker Snow & Co., Ltd, Halifax, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 20, 1971
CAUSE OF DEATH
(a) Respiratory Insuf
(b) Bronchogenic carcinoma
(c) Metastic carcenoma
other
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