Female Death Registration: Year: 1971 number: 2122
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002122
1. PLACE OF DEATH County of Annapolis If in City or Town Annapolis Royal
If death occured in a hospital or institution Annapolis General Hospital
3. PRINT NAME OF DECEASED Merry, Ethel Mae
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Harmony Mills, Queens Co
9. DATE OF BIRTH 8 23, 1885
10. AGE in Years85 Months6 Days15 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Retired
13. Date last worked 1965 14. Total years 55
15. If married name of spouse Mr. Everett Merry
16. NAME of Father William Kempton
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs Melita Kempton
address Maitland Bridge
Relationship to deceased Daugther
21. Place of burial Maitland Bridge Anna Co. N.S.
Date of burial March 14, 1971
22. Undertaker Charles Dargie & Sons Ltd, Annapolis Royal, Nova Scotia
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 10, 1971
CAUSE OF DEATH
(a) Diabetic Acidesis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494199
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