Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Leila Rosella Innes death at Windsor, Hants County on November 18, 1971
Female Death Registration: Year: 1971 number: 6777
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006777
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Masonic Home
3. PRINT NAME OF DECEASED Innes, Leila Rosella
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
7. Single, Married
widowed
8. BIRTHPLACE Massachusetts, USA
9. DATE OF BIRTH 9 5, 1894
10. AGE in Years77 Months2 Days13 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Retired
13. Date last worked 1961 14. Total years 45
15. If married name of spouse
16. NAME of Father J Frank Rolfe
17. BIRTHPLACE Massachusetts, USA
18. NAME of Mother Leila Rosella Rolfe
19. BIRTHPLACE Massachusetts, USA
20. Signature of Informant Nancy Sanford, R.N>
address Falmouth
Relationship to deceased Superintendent Guest Home
21. Place of burial Windsor, NS
Date of burial November 20 1971
22. Undertaker Lohnes Funeral Service Ltd, Windsor, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 18, 1971
CAUSE OF DEATH
(a) Pneumonia cachexia
(b) Carcinoma
(c) Retroperitoneal
other
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