| Place of Death | St. Joseph General Hospital, Dawson Creek, B.C |
| Length of Stay |
In Municipality where death occurred 25 years
In Province 38 years In Canada (if immigrant) 38 years |
| Full Name of Deceased | Newby Grace Hannah |
| Permanent Residence of Deceased | 3 Rotary Harbour, Dawson Creek, B.C. |
| Sex | F |
| Citizenship | Canadian |
| Racial Origin | English |
| Single, Married, Widowed or Divorced | Widowed |
| Birthplace | Leeds, Yorkshire, England |
| Date of Birthplace | April 5th, 1874 |
| Occupation | Housewife - At home |
| Date deceased last worked at this occupation | 1955 |
| Total years spent in this occupation | 52 years |
| If married, widowed or divorced give name of husband or maiden name of wife of deceased | Frederick William Newby |
| Name of Father | Foster William |
| Maiden Name of Mother | Armestead Unknown |
| Birthplace of Father | England |
| Birthplace of Mother | England |
| I certify the foregoing to be true and correct to the best of my knowledge and belief |
Given under my hand at Dawson Creek, B.C., this 1 day of March 1959
Signature of informant R Newby Relationship to deceased son Address of informant 13-11104 Ave., Dawson Creek, B.C. |
| Burial, Cremation or Removal | Burial March 4th 1959 |
| Place of Burial or Cremation | City Cemetery, Dawson Creek, B.C. |
| Undertaker | Reynar's Funeral home Ltd., 1302-102 Ave, Dawson Creek, B.C. |
| Medical Certificate of Death | |
| Date of Death | March 1st 1959 |
| Cause of Death | Cerebral Haemorrhage |
| Signed by | H.J. O'Brien M.D. Dawson Creek, B.C. |
Source: Royal BC Museum