Female Death Registration: Year: 1971 number: 7076
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007076
1. PLACE OF DEATH County of Kings If in City or Town Coldbrook
If death occured in a hospital or institution Country Home Nursing Home
3. PRINT NAME OF DECEASED Roberts, Brenda Lee
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Liverpool
9. DATE OF BIRTH 11 6, 1970
10. AGE in Years1 Months Days14 | 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
16. NAME of Father Arthur Stuchey
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Roselia Roberts
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Childrens Aid Society, Queens County
address Main St., Liverpool
Relationship to deceased Guardian
21. Place of burial Liverpool, Queens Co.
Date of burial November 24, 1971
22. Undertaker Chandlers' Funeral Home, Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 20, 1971
CAUSE OF DEATH
(a) Hydrocephaly
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499148
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