Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Sybilla Simm death at Aulds Cove, Antigonish County on October 17, 1970
Female Death Registration: Year: 1970 number: 6941
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006941
1. PLACE OF DEATH County of Antigonish If in City or Town Aulds Cove
If death occured in a hospital or institution highway #4 in Antigonish
3. PRINT NAME OF DECEASED Simm, Sybilla
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 11 22, 1918
10. AGE in Years51 Months10 Days25 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry at home
13. Date last worked 14. Total years
15. If married name of spouse Bert Simm
16. NAME of Father Ernest Herridge
17. BIRTHPLACE Newfoundland
18. NAME of Mother Violet Pink
19. BIRTHPLACE Newfoundland
20. Signature of Informant Bert Simms
address 15 Maple Avenue, Glace Bay
Relationship to deceased Husband
21. Place of burial St. Mary's Cemetery, Glace Bay
Date of burial Oct 20 1970
22. Undertaker Patten's Funeral Home, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 17, 1970
CAUSE OF DEATH
(a) pneumo thorax
(b) fractured ribs
(c)
other Accident - passenger in 2-car collision
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