Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Margaret Evelyn Coffin death at Lockeport, Shelburne County on January 2, 1970
Female Death Registration: Year: 1970 number: 1074
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001074
1. PLACE OF DEATH County of Shelburne If in City or Town Lockeport
If death occured in a hospital or institution Surf Lodge Nursing Home
3. PRINT NAME OF DECEASED Coffin, Margaret Evelyn
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 24, 1877
10. AGE in Years92 Months Days9 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1967 14. Total years 70
15. If married name of spouse Kenneth Coffin
16. NAME of Father George H. Snow
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ellen Susannah Goulden
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Kenneth B. Coffin
address R.R.1 Barrington
Relationship to deceased Son
21. Place of burial Barrington
Date of burial January 5th, 1970
22. Undertaker Kenney Funeral Service, Barrington, Shel. Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 2, 1970
CAUSE OF DEATH
(a) Arteriosclerotic Heart disease
(b)
(c)
other
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