Female Death Registration: Year: 1970 number: 3893
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003893
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital, Sandy Point, Shelburne Co.
3. PRINT NAME OF DECEASED Goulden, Eva Maude
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 15, 1897
10. AGE in Years72 Months6 Days27 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1960 14. Total years 30 years
15. If married name of spouse Chesley Goulden
16. NAME of Father Richard Hamm
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Martha Boyd
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Chesley Goulden
address Birchtown
Relationship to deceased Husband
21. Place of burial Birchtown Cemetery, Shelb. Co.
Date of burial June 15 1970
22. Undertaker Huskilson's Funeral Home, Shelb.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 12, 1970
CAUSE OF DEATH
(a) Generalized Arteriosclerosis
(b)
(c)
other Old CVA and Renal Infection
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489203
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