Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Emmaleta Irene Crouse death at Lunenburg, Lunenburg County on January 10, 1970
Female Death Registration: Year: 1970 number: 1171
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001171
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Fishermen's Memorial Hospital
3. PRINT NAME OF DECEASED Crouse, Emmaleta Irene
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Lunenburg County
9. DATE OF BIRTH 2 13, 1882
10. AGE in Years87 Months10 Days27 | hrs or mins
11. Trade or profession Homemaker
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Angus Crouse
16. NAME of Father Urias Romkey
17. BIRTHPLACE Lunenburg County
18. NAME of Mother
19. BIRTHPLACE Lunenburg County
20. Signature of Informant C.D. Crouse
address Lunenburg
Relationship to deceased Son
21. Place of burial Centre
Date of burial January 13, 1970
22. Undertaker Lunenburg
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 10, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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