Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Adelaid Holeman death at Aylesford, Kings County on January 3, 1971
Female Death Registration: Year: 1971 number: 1261
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001261
1. PLACE OF DEATH County of Kings If in City or Town Aylesford
If death occured in a hospital or institution Ward's Rest Home
3. PRINT NAME OF DECEASED Holeman, Adelaid
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Riverport
9. DATE OF BIRTH 11 10, 1883
10. AGE in Years87 Months1 Days23 | 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 William Holeman
16. NAME of Father Benjamin Richie
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mr. Donald Richie
address Port Haweksbury
Relationship to deceased Nephew
21. Place of burial Western Shore
Date of burial January 9, 1971
22. Undertaker H.C. Lindsay Funeral Home, Berwick
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 3, 1971
CAUSE OF DEATH
(a) C.V.A.
(b)
(c)
other
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