Female Death Registration: Year: 1970 number: 1999
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001999
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Lockhart's Nursing Home
3. PRINT NAME OF DECEASED Johnson, Ilmi Octavia
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Norwegian
7. Single, Married
widowed
8. BIRTHPLACE Christiania, Norway
9. DATE OF BIRTH 10 21, 1880
10. AGE in Years89 Months3 Days26 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked 1969 14. Total years 75
15. If married name of spouse Charles Black Johnson
16. NAME of Father Christian Sundby
17. BIRTHPLACE Norway
18. NAME of Mother Klara Olsen
19. BIRTHPLACE Norway
20. Signature of Informant Mrs. Joan Foster
address 68 Sackville St., Shediac, New Brunswick
Relationship to deceased Niece
21. Place of burial Sackville Cemetery Receiving Vault for burial in Fernwood Cemetery, Port Elgin, New Brunswick
Date of burial February 18, 1970
22. Undertaker Jones Funeral Home, Port Elgin, New Brunswick
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 16, 1970
CAUSE OF DEATH
(a) Influenza and cerebrovascular accident
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487313
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