Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Amelia Allen death at Yarmouth, Yarmouth County on May 1, 1970
Female Death Registration: Year: 1970 number: 3772
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003772
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital, Yarmouth
3. PRINT NAME OF DECEASED Allen, Amelia
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Asyrian
7. Single, Married
widowed
8. BIRTHPLACE Lebanon
9. DATE OF BIRTH 7 21, 1881
10. AGE in Years88 Months9 Days10 | 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 Melan Sapp
17. BIRTHPLACE Lebanon
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Samuel J. Allen
address 104 Main St., Yar.
Relationship to deceased Son
21. Place of burial Yarmouth
Date of burial May 4-1970
22. Undertaker Sweeny Funeral Home, Yar.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 1, 1970
CAUSE OF DEATH
(a) Broncho Pneumonia
(b) ASHD
(c) Duodenal Ulcer
other (L) Femoral Hernia
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