Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ellwood Outhouse death at Shubenacadie, Hants County on November 25, 1970
Male Death Registration: Year: 1970 number: 7003
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007003
1. PLACE OF DEATH County of Hants If in City or Town Shubenacadie
If death occured in a hospital or institution Cotton Nursing Home
3. PRINT NAME OF DECEASED Outhouse, Ellwood
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
7. Single, Married
single
8. BIRTHPLACE Digby
9. DATE OF BIRTH 1 1, 1892
10. AGE in Years78 Months10 Days25 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Fisherman
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. Ann Cotton
address Shubenacadie
Relationship to deceased None
21. Place of burial Mill Village, Hants Co.
Date of burial 26 Nov 70
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 25, 1970
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b) Arteriosclerotic Congestive Heart Failure
(c)
other Hypostatic Pneumonia
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