Female Death Registration: Year: 1971 number: 7595
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007595
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED Campbell, Henrietta
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 16, 1880
10. AGE in Years91 Months2 Days15 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse John A. Campbell
16. NAME of Father Daniel MacBain
17. BIRTHPLACE NS
18. NAME of Mother Mary MacLean
19. BIRTHPLACE NS
20. Signature of Informant William Campbell
address Mitchell Street, New Glasgow, Pictou Co., NS
Relationship to deceased Son
21. Place of burial Brookside Cemetery, New Glasgow, NS
Date of burial 3 January 1972
22. Undertaker MacQuarrie, Stellarton, Pictou Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 31, 1971
CAUSE OF DEATH
(a) Hypostatic Pneumonia
(b) Congestive Heart Failure
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499667
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