Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Pearl Josephi Atkinson death at Sable River, Shelburne County on January 12, 1971
Female Death Registration: Year: 1971 number: 1160
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001160
1. PLACE OF DEATH County of Shelburne If in City or Town Sable River
If death occured in a hospital or institution Sable River Nursing Home
3. PRINT NAME OF DECEASED Atkinson, Pearl Josephi
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 2, 1905
10. AGE in Years65 Months8 Days10 | hrs or mins
11. Trade or profession Housework
12. Kind of industry
13. Date last worked 1964 14. Total years 40
15. If married name of spouse George Atkinson
16. NAME of Father Carmine Nickerson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Maria O'Connell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Hubert Atkinson
address South Side, Shel. Co.
Relationship to deceased Son
21. Place of burial South Side
Date of burial January 15, 1971
22. Undertaker Kenney Funeral Service, Barrington, Shel. Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 12, 1971
CAUSE OF DEATH
(a) Pulmonary Oedema
(b) Congestive Heart Failure
(c) Arteriosclerotic Heart Disease
other Diabetes Mellitus
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