Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Natalie Katharine Nickerson death at Yarmouth, Yarmouth County on March 30, 1970
Female Death Registration: Year: 1970 number: 2542
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002542
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Nickerson, Natalie Katharine
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Brier Lake
9. DATE OF BIRTH 5 8, 1881
10. AGE in Years88 Months10 Days22 | hrs or mins
11. Trade or profession At Home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father George Allen
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Thibault
19. BIRTHPLACE Nova Scotia
20. Signature of Informant James Nickerson
address Carleton
Relationship to deceased Son
21. Place of burial Carleton
Date of burial April 1, 1970
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 30, 1970
CAUSE OF DEATH
(a) Septicemia
(b) Colitis
(c) Cancer Rectum
other
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