Female Death Registration: Year: 1971 number: 7148
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007148
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital, Halifax
3. PRINT NAME OF DECEASED Corkum, Susan Olivia
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Queens County
9. DATE OF BIRTH 6 30, 1897
10. AGE in Years74 Months5 Days16 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked 1968 14. Total years
15. If married name of spouse Ralph Foster Corkum
16. NAME of Father George Smith
17. BIRTHPLACE
18. NAME of Mother Etta Wamboldt
19. BIRTHPLACE
20. Signature of Informant Mrs. Marshall Hirtle
address RR1 LaHave, Lunenburg Co.
Relationship to deceased Daughter
21. Place of burial New Cumberland, Lunenburg Co.
Date of burial December 18, 1971
22. Undertaker Wamback Memorial Chapel, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 15, 1971
CAUSE OF DEATH
(a) Respiratory failure
(b) Carcinoma of Vulva
(c) Pulmonary embolism
other Hyperglycemia, pneumonia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499220
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