Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Augusta Dembenski death at Parrsboro, Cumberland County on October 11, 1970
Female Death Registration: Year: 1970 number: 6041
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006041
1. PLACE OF DEATH County of Cumberland If in City or Town Parrsboro
If death occured in a hospital or institution Ann's Rest Home
3. PRINT NAME OF DECEASED Dembenski, Augusta
4. Sex
Female
5. Citizenship
Naturalized Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Germany
9. DATE OF BIRTH 1 11, 1887
10. AGE in Years83 Months9 Days0 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 196\ 14. Total years 61
15. If married name of spouse John Dembenski
16. NAME of Father
17. BIRTHPLACE Germany
18. NAME of Mother
19. BIRTHPLACE Germany
20. Signature of Informant Mrs Wallace - Per W H Brown
address 25 Crossin St, Springhill
Relationship to deceased Daughter
21. Place of burial Springhill
Date of burial 14 October 1970
22. Undertaker A.H. Brown Funeral Service Ltd., Springhill
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 11, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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