Female Death Registration: Year: 1971 number: 6900
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006900
1. PLACE OF DEATH County of Colchester If in City or Town Truro
3. PRINT NAME OF DECEASED Smith, Jane Ann
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE England
9. DATE OF BIRTH 1 19, 1881
10. AGE in Years90 Months10 Days1 | hrs or mins
11. Trade or profession At Home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Henry Bartlett
17. BIRTHPLACE England
18. NAME of Mother Sarah Hodge
19. BIRTHPLACE England
20. Signature of Informant Mrs. B. A. Horne
address 11 Crescent Drive, Truro, NS
Relationship to deceased Daughter
21. Place of burial Terrace Hill Cemetery, Truro, Colchester Co., NS
Date of burial 23 November 1971
22. Undertaker Mattatall Funeral Home Ltd., Truro, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 20, 1971
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498973
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