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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