Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ethel May Graham death at Belmont, Colchester County on January 14, 1970
Female Death Registration: Year: 1970 number: 1347
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001347
1. PLACE OF DEATH County of Colchester If in City or Town Belmont
If death occured in a hospital or institution At residence, Belmont
3. PRINT NAME OF DECEASED Graham, Ethel May
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 8, 1891
10. AGE in Years78 Months4 Days6 | hrs or mins
11. Trade or profession at home
12. Kind of industry
13. Date last worked 1970 14. Total years 64
15. If married name of spouse
16. NAME of Father Thomas Berry
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Alice Bennett
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. John Graham
address Belmont, Colchester Co.
Relationship to deceased son
21. Place of burial Belmont
Date of burial January 18, 1970
22. Undertaker McCulloch and Patriquin Funeral Home, Great Village
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 14, 1970
CAUSE OF DEATH
(a) acute myocardial infacr
(b) [arteriosclerosis?]
(c) atrial fibrillation
other
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