Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lucy Jane Ellsworth death at Halifax, Halifax County on December 2, 1970
Female Death Registration: Year: 1970 number: 7148
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007148
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Ellsworth, Lucy Jane
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Middle Harbour
9. DATE OF BIRTH 12 17, 1906
10. AGE in Years63 Months11 Days15 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse George Ellsworth
16. NAME of Father Alexander Petrie
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Susan Curtis
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Ernest Ellsworth
address Shubenacadie,
Relationship to deceased Son
21. Place of burial Neil's Hbr,
Date of burial 6 Dec '70
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 2, 1970
CAUSE OF DEATH
(a) Carcinoma of Caecum
(b)
(c)
other
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