Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Katherine Elizabe Kelley death at Shelburne, Shelburne County on February 21, 1971
Female Death Registration: Year: 1971 number: 2069
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002069
1. PLACE OF DEATH County of Shelburne If in City or Town Shelburne
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Kelley, Katherine Elizabe
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Boston, Massachusetts, USA
9. DATE OF BIRTH 10 10, 1915
10. AGE in Years55 Months4 Days11 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1971 14. Total years
15. If married name of spouse Edwin C Kelley
16. NAME of Father Ralph James Douglas
17. BIRTHPLACE Port Joli, Queens Co, NS
18. NAME of Mother Agnes McLeod Swanburg
19. BIRTHPLACE Shelburne, NS
20. Signature of Informant Edwin C Kelley
address Shelburne, NS
Relationship to deceased Husband
21. Place of burial Pine Grove Cemetery, Shelburne, NS
Date of burial February 24, 1971
22. Undertaker H M Huskilson Funeral home, Shelb. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 21, 1971
CAUSE OF DEATH
(a) asperation of vomit
(b) Intestinal obstruction
(c) Impacted gallstone
other
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