Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Eleanor Esmond Merriam death at Annapolis Royal, Annapolis County on June 9, 1970
Female Death Registration: Year: 1970 number: 3686
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003686
1. PLACE OF DEATH County of Annapolis If in City or Town Annapolis Royal
If death occured in a hospital or institution Anna. General Hospital, Annapolis Royal
3. PRINT NAME OF DECEASED Merriam, Eleanor Esmond
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Annapolis Royal
9. DATE OF BIRTH 7 14, 1891
10. AGE in Years78 Months10 Days27 | hrs or mins
11. Trade or profession House Keeping Retired
12. Kind of industry Civil Service
13. Date last worked 1969 14. Total years 55
15. If married name of spouse
16. NAME of Father Charles McCormick
17. BIRTHPLACE Granville Ferry
18. NAME of Mother Emily De Blois
19. BIRTHPLACE Nova Scotia
20. Signature of Informant H. Gordon McCormick
address Annapolis Royal
Relationship to deceased Brother
21. Place of burial Anglican Cemetery, Wolfville
Date of burial June 11, 1970
22. Undertaker Chas. Dargie & Son Ltd., Annapolis Royal
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 9, 1970
CAUSE OF DEATH
(a) Coronary occlusion
(b)
(c)
other
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