Female Death Registration: Year: 1971 number: 6898
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006898
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Colchester Hospital
3. PRINT NAME OF DECEASED Saegert, Ava Catrina
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Alberta
9. DATE OF BIRTH 2 23, 1903
10. AGE in Years68 Months9 Days26 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Frederick Saegert
17. BIRTHPLACE
18. NAME of Mother Mary Fox MacLean
19. BIRTHPLACE
20. Signature of Informant Peter Saegert
address 15 W 72nd Street, Apt 17-E, New York, USA, 10023
Relationship to deceased Nephew
21. Place of burial St. John, New Brunswick
Date of burial 21 December 1971
22. Undertaker Mattatall Funeral Home, Truro, Colchester Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 19, 1971
CAUSE OF DEATH
(a) Obstructive Jaundice
(b) Carcinomatosis
(c) Carcinoma of the Body of the Uterus
other Gall Stones
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498971
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