Female Death Registration: Year: 1971 number: 7138
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007138
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Fairview Villa Nursing Home
3. PRINT NAME OF DECEASED Al Molky, Charlotte Janette
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 12 12, 1901
10. AGE in Years69 Months11 Days28 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Houseduties
13. Date last worked 1961 14. Total years 40
15. If married name of spouse Saleem Al Molky
16. NAME of Father John MacDonald
17. BIRTHPLACE Halifax
18. NAME of Mother
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Michael Al Molky
address 498 Herring Cove Rd.
Relationship to deceased Son
21. Place of burial Gate of Heaven, Lower Sackville
Date of burial December 13, 1971
22. Undertaker Cruikshanks Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 10, 1971
CAUSE OF DEATH
(a) Arteriosclerosis with CVA
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499210
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