Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Penny Susan Scott death at Halifax, Halifax County on January 2, 1973
Female Death Registration: Year: 1973 number: 1001
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001001
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution IWK Hospital
3. PRINT NAME OF DECEASED Scott, Penny Susan
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
8. BIRTHPLACE Chatam, New Brunswick
9. DATE OF BIRTH 9 20, 1969
10. AGE in Years3 Months3 Days13 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Rodney Scott
17. BIRTHPLACE New Brunswick
18. NAME of Mother Elma Slack
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mel Hatton
address Bathurst, New Brunswick
Relationship to deceased none
21. Place of burial Bathurst, New Brunswick
Date of burial January 3, 1973
22. Undertaker Halifax Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 2, 1973
CAUSE OF DEATH
(a) Acute renal failure
(b) Bacterial indocarditis
(c) Acute lymphatic leukemia
other
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