Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ada Mae Nickerson death at Yarmouth, Yarmouth County on January 7, 1970
Female Death Registration: Year: 1970 number: 1082
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001082
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Nickerson, Ada Mae
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 7 16, 1897
10. AGE in Years72 Months5 Days22 | hrs or mins
11. Trade or profession At home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Joseph E. Swaine
17. BIRTHPLACE Cape Negro
18. NAME of Mother Mary Smith
19. BIRTHPLACE Yarmouth
20. Signature of Informant William Baxter
address 69 South East St., Yarmouth
Relationship to deceased Brother-in-Law
21. Place of burial Yarmouth
Date of burial January 10, 1970
22. Undertaker Sweeny's Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 7, 1970
CAUSE OF DEATH
(a)
(b) Bronchitis
(c) Emphysema
other
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