Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Violet Florence Nickerson death at Yarmouth, Yarmouth County on December 22, 1970
Female Death Registration: Year: 1970 number: 7506
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007506
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Nickerson, Violet Florence
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 5, 1893
10. AGE in Years77 Months0 Days17 | hrs or mins
11. Trade or profession Housework
12. Kind of industry
13. Date last worked December 10, 1970 14. Total years 58
15. If married name of spouse Hadwin Nickerson
16. NAME of Father Jethro Swim
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lillis Smith
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Forman Nickerson
address 471 Main St. Yarmouth
Relationship to deceased Son
21. Place of burial Lower Clarks Harbour
Date of burial December 24, 1970
22. Undertaker Kenney Funeral Service
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 22, 1970
CAUSE OF DEATH
(a) Renal Failure
(b)
(c)
other
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