Female Death Registration: Year: 1971 number: 7057
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007057
1. PLACE OF DEATH County of Halifax If in City or Town Whites Lake
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Cox, Angela Marie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 11 16, 1971
10. AGE in Years Months Days16 | hrs or mins
11. Trade or profession Infant
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Single
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Sharon Ann Cox
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Miss Ann Keith
address P.O. Box 696, Dept. of Public Welfare, Regional Office, Halifax
Relationship to deceased
21. Place of burial Fairview Cem., Hfx
Date of burial December 4, 1971
22. Undertaker Lindsay's Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 2, 1971
CAUSE OF DEATH
(a) Broncho-pneumonia
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499129
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