Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Olive Jane Tibert death at Annapolis Royal, Annapolis County on January 10, 1971
Female Death Registration: Year: 1971 number: 1204
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001204
1. PLACE OF DEATH County of Annapolis If in City or Town Annapolis Royal
If death occured in a hospital or institution Annapolis Royal Rest Home
3. PRINT NAME OF DECEASED Tibert, Olive Jane
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Central Grove
9. DATE OF BIRTH 12 25, 1879
10. AGE in Years91 Months Days16 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry housekeeping
13. Date last worked 1968 14. Total years
15. If married name of spouse Clarence M. Tibert
16. NAME of Father Isaiah Tibert
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Eleanor
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Melvin Tibert
address Freeport
Relationship to deceased son
21. Place of burial Central Grove
Date of burial January 13, 1971
22. Undertaker Reigh W. Jayne, Digby
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 10, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Coronary Atherosclerosis
(c) Generalized Atherosclerosis
other Diabetes mellitus
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