Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Alice May McCulloch death at Milford, Hants County on January 26, 1970
Female Death Registration: Year: 1970 number: 1505
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001505
1. PLACE OF DEATH County of Hants If in City or Town Milford
If death occured in a hospital or institution Ettingers Rest Home
3. PRINT NAME OF DECEASED McCulloch, Alice May
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 7, 873
10. AGE in Years96 Months8 Days19 | hrs or mins
11. Trade or profession Domestic
12. Kind of industry
13. Date last worked 1965 14. Total years Life
15. If married name of spouse Adam McCullogh
16. NAME of Father Theophilus Singer
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Priscilla Scott
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Rosslyn McCulloch
address Milford Station
Relationship to deceased Son
21. Place of burial Kennetcook
Date of burial January 28, 1970
22. Undertaker Withrow McMillan, Upper Rawdon
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 26, 1970
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b)
(c)
other
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