Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Alice May Bain death at Pembroke, Yarmouth County on May 31, 1970
Female Death Registration: Year: 1970 number: 3780
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003780
1. PLACE OF DEATH County of Yarmouth If in City or Town Pembroke
If death occured in a hospital or institution 18 Main St
3. PRINT NAME OF DECEASED Bain, Alice May
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Sandford
9. DATE OF BIRTH 4 11, 1902
10. AGE in Years68 Months1 Days20 | 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 Adelbert Bain
16. NAME of Father Reuben Durkee
17. BIRTHPLACE
18. NAME of Mother Margaret Deitrick
19. BIRTHPLACE
20. Signature of Informant Mr Adelbert Bain
address RR#3, Yarmouth
Relationship to deceased Husband
21. Place of burial Pembroke, Yar. Co
Date of burial June 3, 1970
22. Undertaker Sweeny's Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 31, 1970
CAUSE OF DEATH
(a) Coronary Thrombrosis
(b) arterosclerotic heart disease
(c)
other
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