Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Carrie Evelyn Hill death at South Maitland, Hants County on April 12, 1971
Female Death Registration: Year: 1971 number: 2785
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002785
1. PLACE OF DEATH County of Hants If in City or Town South Maitland
If death occured in a hospital or institution Home of son
3. PRINT NAME OF DECEASED Hill, Carrie Evelyn
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
widowed
8. BIRTHPLACE Middleboro, Massachusetts
9. DATE OF BIRTH 5 30, 1889
10. AGE in Years81 Months10 Days13 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Percy Hill (deceased)
16. NAME of Father David Vaughan
17. BIRTHPLACE Mass. USA
18. NAME of Mother Mary Elizabeth Shaw
19. BIRTHPLACE Mass. USA
20. Signature of Informant Curtis Hill
address South Maitland, NS
Relationship to deceased Son
21. Place of burial South Range, Digby Co. NS
Date of burial 15 Apr'71
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 12, 1971
CAUSE OF DEATH
(a) Cerebral Hemorrhage
(b)
(c)
other
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