Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Elsie Violet Symonds death at Harbourville, Kings County on February 11, 1970

Female Death Registration: Year: 1970 number: 1886

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 001886

1. PLACE OF DEATH   County of Kings If in City or Town Harbourville

3. PRINT NAME OF DECEASED Symonds, Elsie Violet

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE England

9. DATE OF BIRTH 12  17, 1888

10. AGE in  Years81  Months1  Days25 | hrs or mins

11. Trade or profession Houskeeper

12. Kind of industry Houskeeping

13. Date last worked 1960       14. Total years 50

15. If married name of spouse Harold Symonds

16. NAME of Father John  Clarkson

17. BIRTHPLACE England

18. NAME of Mother Catherine Pedro

19. BIRTHPLACE England

20. Signature of Informant Mrs. Roy Patterson

      address 510 Main St. Kentville

      Relationship to deceased Guardant

21. Place of burial Elm Grove Cemetery, Kentville, NH

      Date of burial February 13, 1970

22. Undertaker W. C. Hiltz Funeral Home

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH February 11, 1970

CAUSE OF DEATH

(a) Hypostatic pneumonia

(b) ? disease with myocardial contractions

(c)

other Malnutrition; Ch. Br. Syndrome - mild

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