Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Amy Helena Eikle death at Berwick, Kings County on May 14, 1971
Female Death Registration: Year: 1971 number: 3444
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003444
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution Western Kings Memorial Hospital
3. PRINT NAME OF DECEASED Eikle, Amy Helena
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Lunenburg County
9. DATE OF BIRTH 12 12, 1880
10. AGE in Years90 Months5 Days2 | hrs or mins
11. Trade or profession
12. Kind of industry Housewife
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Milford Johnson
17. BIRTHPLACE Lunenburg Co., NS
18. NAME of Mother Frances Huly
19. BIRTHPLACE Lunenburg Co., NS
20. Signature of Informant E. Webster Eikle
address Blockhouse, Lunenburg Co., NS
Relationship to deceased Son
21. Place of burial Blockhouse, Lunenburg Co., NS
Date of burial 16 May 1971
22. Undertaker Mahone Funeral Home, Mahone Bay, Lunenburg Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 14, 1971
CAUSE OF DEATH
(a) Hypostatic Pneumonia
(b) Gross Malnutrition
(c) Atherosclerotic Coronary Occlusion Disease with Myocardial Ischaemia
other Fracture of Right Hip
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