Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charlotte Anne Stoddard death at Yarmouth, Yarmouth County on February 1, 1971
Female Death Registration: Year: 1971 number: 1522
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001522
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Veinotte's Resting Home
3. PRINT NAME OF DECEASED Stoddard, Charlotte Anne
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 20, 1891
10. AGE in Years79 Months2 Days12 | hrs or mins
11. Trade or profession Housework
12. Kind of industry
13. Date last worked 1966 14. Total years
15. If married name of spouse Lovitt Stoddard
16. NAME of Father John Surette
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Eunice
19. BIRTHPLACE Nova Scotia
20. Signature of Informant P. Stoddard
address Summerside, Prince Edward Island
Relationship to deceased Grandson
21. Place of burial Shelburne
Date of burial February 3, 1971
22. Undertaker Kenney Funeral Service, Barrington, Shelburne County
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 1, 1971
CAUSE OF DEATH
(a) Chronic Organic Brain Syndrome [Dementia]
(b) Arteriosclerosis
(c)
other
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