Female Death Registration: Year: 1971 number: 6999
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006999
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Izaac Walton KIllam Hospital for Children
3. PRINT NAME OF DECEASED Vance, Dineen
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
White
7. Single, Married
single
8. BIRTHPLACE Truro, Colchester County
9. DATE OF BIRTH 10 20, 1971
10. AGE in Years Months Days7 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Gary Vance
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Gail Patriquin
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Gary Vance
address 62 Wynn Road, Truro, Colchester Co., NS
Relationship to deceased Father
21. Place of burial Bass River, Colchester Co., NS
Date of burial 29 October 1971
22. Undertaker McCulloch and Patriquin Funeral Home, Great Village, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 27, 1971
CAUSE OF DEATH
(a) Multiple Congenital Abnormalities
(b)
(c)
other Congenital Heart Disease
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499072
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