Female Death Registration: Year: 1971 number: 1030
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001030
1. PLACE OF DEATH County of Colchester If in City or Town Bible Hill
If death occured in a hospital or institution 56 Ryland Ave., Bible Hill
3. PRINT NAME OF DECEASED Ripley, Amy Boyne
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 23, 1921
10. AGE in Years49 Months11 Days11 | hrs or mins
11. Trade or profession At Home
12. Kind of industry
13. Date last worked 1970 14. Total years 28
15. If married name of spouse
16. NAME of Father William R. Ripley
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Stella Johnson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Dawson Ripley
address 56 Ryland Ave., Bible Hill
Relationship to deceased Brother
21. Place of burial Glenholme
Date of burial January 5, 1971
22. Undertaker McCulloch and Patriquin Funeral Home, Great Village, Nova Scotia
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 3, 1971
CAUSE OF DEATH
(a) Bleeding in Gastrointestinal tract
(b) Chronic Duodenal Ulcer
(c)
other Coronary atherosclerosis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493108
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