Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Evelyn Mae Inness death at Halifax, Halifax County on December 11, 1970
Female Death Registration: Year: 1970 number: 7160
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007160
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital, Halifax
3. PRINT NAME OF DECEASED Inness, Evelyn Mae
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widow
8. BIRTHPLACE Mahone Bay
9. DATE OF BIRTH 1 31, 1891
10. AGE in Years79 Months10 Days11 | hrs or mins
11. Trade or profession Retired
12. Kind of industry House Duties
13. Date last worked Dec 1, 1970 14. Total years Life
15. If married name of spouse Late Justin Inness
16. NAME of Father Nathan Joudrey
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Rebecca Corkum
19. BIRTHPLACE Pleasantville
20. Signature of Informant Ronald Inness
address 5375 Rector Street, Halifax, NS
Relationship to deceased Son
21. Place of burial Camp Hill Cemetery, Halifax
Date of burial Dec. 14-1970
22. Undertaker Cruikshank Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 11, 1970
CAUSE OF DEATH
(a) Myocarditis with failure
(b) Arteriosclerosis
(c)
other
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