Female Death Registration: Year: 1971 number: 1367
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001367
1. PLACE OF DEATH County of Hants If in City or Town Falmouth
If death occured in a hospital or institution Hilltop Nursing Home
3. PRINT NAME OF DECEASED Withrow, Clara
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 , 1901
10. AGE in Years69 Months Days | hrs or mins
11. Trade or profession retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Richmond Withrow
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Minnie
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Municipal Records
address Milford, N. S.
Relationship to deceased
21. Place of burial Upper Nine Mile River Receiving Chapel
Date of burial Spring 1971
22. Undertaker Withrow - MacMillan Upper Rawdon
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 23, 1971
CAUSE OF DEATH
(a) Cerebral Sclerosis
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493445
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