Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Etta Rose Warner death at Bayers Settlement, Halifax County on February 4, 1970
Female Death Registration: Year: 1970 number: 1863
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001863
1. PLACE OF DEATH County of Halifax If in City or Town Bayers Settlement
3. PRINT NAME OF DECEASED Warner, Etta Rose
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 16, 1883
10. AGE in Years86 Months6 Days19 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry House keeping
13. Date last worked 1965 14. Total years 62
15. If married name of spouse
16. NAME of Father William Bayers
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sarah Harpell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Melton G Warner
address RR 2 Musquodoboit Harbour
Relationship to deceased Son
21. Place of burial Bayers Settlement
Date of burial February 6, 1970
22. Undertaker Rowlings Funeral Service, Musquodoboit Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 4, 1970
CAUSE OF DEATH
(a) Carcinoma of pancreas
(b)
(c)
other
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