Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Katie Adelaide Collicutt death at Marriotts Cove, Lunenburg County on April 21, 1971
Female Death Registration: Year: 1971 number: 3073
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003073
1. PLACE OF DEATH County of Lunenburg If in City or Town Marriotts Cove
3. PRINT NAME OF DECEASED Collicutt, Katie Adelaide
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 29, 1884
10. AGE in Years86 Months6 Days26 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Ralph Collicutt
16. NAME of Father George Bezanson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Naomi Nauss
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Frederick Collicutt
address Marriott's Cove
Relationship to deceased son
21. Place of burial Chester Basin
Date of burial April 23, 1971
22. Undertaker Davis Funeral Home, Chester, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 21, 1971
CAUSE OF DEATH
(a) cerebral vascular accident
(b)
(c)
other
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