Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Annie Elizabeth Cottam death at Halifax, Halifax County on March 3, 1970
Female Death Registration: Year: 1970 number: 2058
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002058
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Cameron Nursing Home
3. PRINT NAME OF DECEASED Cottam, Annie Elizabeth
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Moose River, Hants
9. DATE OF BIRTH 1 2, 1877
10. AGE in Years93 Months2 Days1 | hrs or mins
11. Trade or profession House duties
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse (not recorded)
16. NAME of Father Peter Brown
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Agnes Scott
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs.Victor Redmond
address 27 Chapel St., Dartmouth
Relationship to deceased Granddaughter
21. Place of burial Delient(?), Colchester
Date of burial March 5, 1970
22. Undertaker Mattatalls Funeral Home, Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 3, 1970
CAUSE OF DEATH
(a) Generalized arteriosclerosis and old age
(b)
(c)
other
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