Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Emma Ambrose death at Bloomfield, Digby County on February 9, 1971
Female Death Registration: Year: 1971 number: 1756
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001756
1. PLACE OF DEATH County of Digby If in City or Town Bloomfield
If death occured in a hospital or institution Main Street
3. PRINT NAME OF DECEASED Ambrose, Mary Emma
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Scouduc, New Brunswick
9. DATE OF BIRTH 5 25, 1880
10. AGE in Years90 Months8 Days15 | hrs or mins
11. Trade or profession at home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Philip Burke
17. BIRTHPLACE N.B.
18. NAME of Mother Catherine Doty
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Reginald Ambrose
address Bloomfield, Digby Co.
Relationship to deceased Son
21. Place of burial Plympton
Date of burial February 11, 1971
22. Undertaker Weymouth Funeral Home Ltd., Box 24, Weymouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 9, 1971
CAUSE OF DEATH
(a) Cardiac rhythm disturbance
(b) Advanced cardiac degeneration
(c) Arterio sclerosis
other
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