Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Olive Marguerite Crouse death at Yarmouth, Yarmouth County on March 25, 1971
Female Death Registration: Year: 1971 number: 2468
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002468
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Crouse, Olive Marguerite
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Lunenburg
9. DATE OF BIRTH 5 12, 1892
10. AGE in Years78 Months10 Days13 | 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 Edmund Wile
17. BIRTHPLACE Lunenburg
18. NAME of Mother Emma Smith
19. BIRTHPLACE Lunenburg
20. Signature of Informant Mr. Douglas Stewart
address 61 Prospect St., Yar. Co.,
Relationship to deceased Son-in-law
21. Place of burial Middleton
Date of burial March 27, 1971
22. Undertaker Sweeny's Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 25, 1971
CAUSE OF DEATH
(a) Carcinoma of rectum
(b)
(c)
other
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