Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Sarah Niculona Herbert death at Sandy Point, Shelburne County on May 2, 1970
Female Death Registration: Year: 1970 number: 3344
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003344
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Herbert, Sarah Niculona
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Negro
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 30, 1966
10. AGE in Years4 Months Days2 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Peter Herbert
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sadie Farmer
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Peter Cobmon Herbert
address Birchtown
Relationship to deceased Father
21. Place of burial Cape Negro, Shelb. Co.
Date of burial May 15, 1970
22. Undertaker Huskolson's Funeral Home, Shelb.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 2, 1970
CAUSE OF DEATH
(a) Cerebral haemorrhage
(b) Cerebral Neoplasim
(c)
other
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