Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Sarah Ethel Merriam death at Great Village, Colchester County on October 26, 1970
Female Death Registration: Year: 1970 number: 6687
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006687
1. PLACE OF DEATH County of Colchester If in City or Town Great Village
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Merriam, Sarah Ethel
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish & Irish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 28, 1879
10. AGE in Years91 Months Days28 | hrs or mins
11. Trade or profession At home
12. Kind of industry
13. Date last worked 1969 14. Total years 69
15. If married name of spouse
16. NAME of Father Joseph Cole
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sophia Ells
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Percy Boyd
address Great Village, Col Co
Relationship to deceased Daughter
21. Place of burial Port Greville
Date of burial October 28 1970
22. Undertaker McCulloch and Patriquin Funeral Home, Great Village
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 26, 1970
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b) Arterosclerosis
(c)
other
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