Female Death Registration: Year: 1971 number: 7652
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007652
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Reynolds, Annie Elizabeth
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Scotch Village
9. DATE OF BIRTH 12 24, 1887
10. AGE in Years84 Months Days7 | hrs or mins
11. Trade or profession House Wife
12. Kind of industry
13. Date last worked 1965 14. Total years
15. If married name of spouse Harold Reynolds
16. NAME of Father Alvin Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Sanford
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Grant Fowler
address Windsor
Relationship to deceased Daughter
21. Place of burial Tenecape
Date of burial January 3, 1972
22. Undertaker Lohnes Funeral Service Ltd. Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 31, 1971
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499724
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