Female Death Registration: Year: 1971 number: 1810
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001810
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional HospitalRegional Hospital
3. PRINT NAME OF DECEASED Clear, Mary Ellen
4. Sex
Female
5. Citizenship
American
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE United States
9. DATE OF BIRTH 11 26, 1886
10. AGE in Years84 Months2 Days22 | 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 John A. Clear
16. NAME of Father William Doucet
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Aimee Theriault
19. BIRTHPLACE Nova Scotia
20. Signature of Informant John A. Clear
address R.R. #1 Yarmouth, Nova Scotia, Box 2440
Relationship to deceased Husband
21. Place of burial Woodbridge, New Jersey, United States of America
Date of burial February 22, 1971
22. Undertaker Meteghan Funeral Service Limited, Meteghan
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 17, 1971
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b) Arteriosclerosis
(c)
other Cerebral Arteriosclerosis Diabetes Mellitus
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493888
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