Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Eva Sarah Waterman death at Caledonia, Queens County on May 12, 1970
Female Death Registration: Year: 1970 number: 3339
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003339
1. PLACE OF DEATH County of Queens If in City or Town Caledonia
If death occured in a hospital or institution North Queens Nursing Home
3. PRINT NAME OF DECEASED Waterman, Eva Sarah
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Bridgewater
9. DATE OF BIRTH 1 23, 1887
10. AGE in Years83 Months5 Days12 | hrs or mins
11. Trade or profession Lady Station Agent (retired)
12. Kind of industry C N R
13. Date last worked 1914 14. Total years 9
15. If married name of spouse Ralph L Waterman
16. NAME of Father Mr Stephen Meisner
17. BIRTHPLACE Bridgewater
18. NAME of Mother Miss Sarah Ramey
19. BIRTHPLACE Bridgewater
20. Signature of Informant Ralph Lee Waterman Senior
address Pleasant River (RR#1 South Brookfield) Queens Co.
Relationship to deceased Husband
21. Place of burial Pleasant River
Date of burial May 14, 1970
22. Undertaker Stan Wamback, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 12, 1970
CAUSE OF DEATH
(a) Coronary thrombosis
(b) Myocardial ischemia
(c) general atherosclerosis
other
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