Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Edward Ellsworth Ellis death at Yarmouth, Yarmouth County on November 21, 1970
Male Death Registration: Year: 1970 number: 6896
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006896
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Ellis, Edward Ellsworth
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Lake George
9. DATE OF BIRTH 11 14, 1894
10. AGE in Years76 Months0 Days6 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Farmer
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Charles J. Ellis
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Claretta Mullen
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Emily E. Ellis
address 555 Main St., Yar.
Relationship to deceased Sister
21. Place of burial Port Maitland, Yar. Co.
Date of burial November 24, 1970
22. Undertaker Sweeny's Funeral Home, Yar.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 21, 1970
CAUSE OF DEATH
(a) Cerebrovascular Accident
(b) Arteriosclerosis
(c)
other Myxedema
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