Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ethel Mae Sheppard death at Sydney, Cape County on December 27, 1970
Female Death Registration: Year: 1970 number: 7760
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007760
1. PLACE OF DEATH County of Cape If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital
3. PRINT NAME OF DECEASED Sheppard, Ethel Mae
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Upper Island Cove, Newfoundland
9. DATE OF BIRTH 12 28, 1905
10. AGE in Years64 Months11 Days30 | hrs or mins
11. Trade or profession At home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Kenneth Sheppard
16. NAME of Father Leander Mercer
17. BIRTHPLACE Upper Island Cove, Newfoundland
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Kenneth Sheppard
address 33 Atlantic St, Sydney
Relationship to deceased Husband
21. Place of burial Hardwood Hill Cemetery, Sydney
Date of burial 30 Dec 1970
22. Undertaker R H Fillmore Funeral Home Ltd, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 27, 1970
CAUSE OF DEATH
(a) Pulm. Insufficiency
(b) ch. Br. Asthma
(c)
other influenza
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