Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Shirley Addison Wyman death at Yarmouth, Yarmouth County on January 26, 1971
Female Death Registration: Year: 1971 number: 1403
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001403
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Wyman, Shirley Addison
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 9, 1913
10. AGE in Years58 Months Days17 | hrs or mins
11. Trade or profession Dept. of Highways
12. Kind of industry
13. Date last worked Nov. 27, 1970 14. Total years 14
15. If married name of spouse Annie Wyman
16. NAME of Father Charles Wyman
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Clara Crowell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Annie M. Wyman
address East Pubnico, Yar. Co.
Relationship to deceased wife
21. Place of burial East Pubnico
Date of burial January 29, 1971
22. Undertaker Kenney Funeral Service, Barrington, Shel. Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 26, 1971
CAUSE OF DEATH
(a) Hypostatic pneumonia
(b) Carcinomatosis
(c) Bronchogenic carcinoma
other cachexia ?inanition
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