Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Henrietta Sophia Harlow death at Caledonia, Queens County on December 16, 1970
Female Death Registration: Year: 1970 number: 7490
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007490
1. PLACE OF DEATH County of Queens If in City or Town Caledonia
If death occured in a hospital or institution North Queens Nursing Home
3. PRINT NAME OF DECEASED Harlow, Henrietta Sophia
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE East Boston, Massachusetts, USA
9. DATE OF BIRTH 3 14, 1887
10. AGE in Years83 Months9 Days2 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Retired
13. Date last worked 1955 14. Total years
15. If married name of spouse Joseph B. Harlow
16. NAME of Father Fenwick Hatt
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Cullington
19. BIRTHPLACE USA
20. Signature of Informant Mrs. Cecil Day
address Waterloo St. Liverpool
Relationship to deceased Daughter
21. Place of burial Liverpool
Date of burial December 18, 1970
22. Undertaker Chandler's Funeral Home, Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 16, 1970
CAUSE OF DEATH
(a) Pulmonary Oedma
(b)
(c)
other
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