Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Amelia Buffett death at Neils Harbour, Victoria County on June 10, 1970

Female Death Registration: Year: 1970 number: 4009

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 004009

1. PLACE OF DEATH   County of Victoria If in City or Town Neils Harbour
If death occured in a hospital or institution Buchanan Memorial Hospital

3. PRINT NAME OF DECEASED Buffett, Amelia

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE McCallum, Newfoundland

9. DATE OF BIRTH 4  18, 1886

10. AGE in  Years84  Months1  Days23 | hrs or mins

11. Trade or profession Housewife

12. Kind of industry

13. Date last worked June 1, 1970       14. Total years

15. If married name of spouse Charles Buffett

16. NAME of Father Thomas Poole

17. BIRTHPLACE McCallum, Newfoundland

18. NAME of Mother Charlotte Parsons

19. BIRTHPLACE McCallum, Newfoundland

20. Signature of Informant Mrs. Norman Boutilier

      address Neils Harbour, Vict, Co

      Relationship to deceased Daughter

21. Place of burial Neils Harbour

      Date of burial June 12, 1970

22. Undertaker None

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH June 10, 1970

CAUSE OF DEATH

(a) Myocardial Infraction

(b) Arteriosclerosis

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489318

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