Female Death Registration: Year: 1970 number: 5103
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005103
1. PLACE OF DEATH County of Cumberland If in City or Town Pugwash
If death occured in a hospital or institution Sunrise Villa Nursing Home
3. PRINT NAME OF DECEASED Coulter, Harriet Amelda
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Wallace
9. DATE OF BIRTH 11 17, 1888
10. AGE in Years87 Months9 Days5 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Frank Sullivan
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Margaret Faye
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Shirley Lawless
address Wallace Bridge
Relationship to deceased Foster Daughter
21. Place of burial Wallace Bridge
Date of burial August 24, 1970
22. Undertaker W. Mundie, Pugwash
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 22, 1970
CAUSE OF DEATH
(a) Acterioseliotic heart disease
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490411
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