Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ellen Frances Nickerson death at Sandy Point, Shelburne County on April 17, 1971
Female Death Registration: Year: 1971 number: 2956
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002956
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital, Shelburne
3. PRINT NAME OF DECEASED Nickerson, Ellen Frances
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 1, 1907
10. AGE in Years63 Months6 Days16 | hrs or mins
11. Trade or profession Housework
12. Kind of industry
13. Date last worked Feb. 1971 14. Total years 45 yrs
15. If married name of spouse Samuel Nickerson
16. NAME of Father Benjamin Perry
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Leona Goulden
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Leona Worthen
address River Head
Relationship to deceased Daughter
21. Place of burial Barrington, NS
Date of burial April 20, 1971
22. Undertaker Kenney Funeral Service, Barrington, Shel. Co. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 17, 1971
CAUSE OF DEATH
(a) Pulmonary Oedema
(b) Pulmonary Metastasis
(c) Anaplastic Carcinoma of Breast
other
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