Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Annie Elizabeth Wamboldt death at Caledonia, Queens County on February 5, 1970
Female Death Registration: Year: 1970 number: 1537
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001537
1. PLACE OF DEATH County of Queens If in City or Town Caledonia
If death occured in a hospital or institution North Queens Nursing Home
3. PRINT NAME OF DECEASED Wamboldt, Annie Elizabeth
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE North Range
9. DATE OF BIRTH 6 28, 1879
10. AGE in Years90 Months7 Days8 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse William Wamboldt
16. NAME of Father Doran Haight
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Adeline Wagner
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Curtis Roy Cook
address Digby
Relationship to deceased Son
21. Place of burial North Range
Date of burial Feb 7, 1970
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 5, 1970
CAUSE OF DEATH
(a) Congestive Cardiac Failure
(b) Atheriosclerosis
(c)
other Renal Failure
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