Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ellsworth Edward Nickerson death at East Baccaro, Shelburne County on March 31, 1971
Male Death Registration: Year: 1971 number: 2578
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002578
1. PLACE OF DEATH County of Shelburne If in City or Town East Baccaro
3. PRINT NAME OF DECEASED Nickerson, Ellsworth Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 2, 1899
10. AGE in Years71 Months8 Days29 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 1966 14. Total years 50 yrs
15. If married name of spouse Dora Nickerson
16. NAME of Father Samuel Nickerson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Geralda Nnickerson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Dora Nickerson
address East Baccaro, Shel. Co. NS
Relationship to deceased wife
21. Place of burial West Baccaro, NS
Date of burial April 4, 1971
22. Undertaker Kenney Funeral Service, Barrington, Shel. Co. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 31, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Generalized Atherosclerosis
(c)
other
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