Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Amy Winnifred Fraser death at Waterville, Kings County on December 30, 1970
Female Death Registration: Year: 1970 number: 7582
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007582
1. PLACE OF DEATH County of Kings If in City or Town Waterville
If death occured in a hospital or institution Kings County Hospital
3. PRINT NAME OF DECEASED Fraser, Amy Winnifred
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Crescent Beach
9. DATE OF BIRTH 1 1, 1895
10. AGE in Years75 Months11 Days29 | 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
16. NAME of Father Whitman Croft
17. BIRTHPLACE Canada
18. NAME of Mother Druscilla
19. BIRTHPLACE Canada
20. Signature of Informant Ruth Corkum
address Berwick
Relationship to deceased Daughter
21. Place of burial West La Have
Date of burial January 2, 1971
22. Undertaker Charles F. Sweeny, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 30, 1970
CAUSE OF DEATH
(a) Pneumonia
(b)
(c)
other
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