Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ethel Maude Jollimore death at Liverpool, Queens County on October 24, 1970
Female Death Registration: Year: 1970 number: 6360
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006360
1. PLACE OF DEATH County of Queens If in City or Town Liverpool
If death occured in a hospital or institution 104 Wolfe St., Liverpool
3. PRINT NAME OF DECEASED Jollimore, Ethel Maude
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Western Head
9. DATE OF BIRTH 5 20, 1897
10. AGE in Years73 Months5 Days4 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housewife
13. Date last worked October 24, 1970 14. Total years
15. If married name of spouse Gilbert Jollimore
16. NAME of Father James Wolfe
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ida Colp
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Irving Wolfe
address Milton
Relationship to deceased Daughter
21. Place of burial Liverpool
Date of burial October 27, 1970
22. Undertaker Chandler's Funeral Home - Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 24, 1970
CAUSE OF DEATH
(a) myocardial infarction - minutes
(b) ASHD - 10+years
(c)
other
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