Female Death Registration: Year: 1971 number: 3508
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003508
1. PLACE OF DEATH County of Halifax If in City or Town Sheet Harbour
If death occured in a hospital or institution Eastern Shore Memorial Hospital, Sheet Harbour, NS
3. PRINT NAME OF DECEASED Mason, Ethel Vale
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 28, 1888
10. AGE in Years82 Months7 Days3 | 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 Wallace
16. NAME of Father George Mason
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Livina Murphy
19. BIRTHPLACE Nova Scotia
20. Signature of Informant L. E. Mason
address Tangier, Halifax Co., NS
Relationship to deceased Cousin
21. Place of burial Popes Harbour, NS
Date of burial April 29, 1971
22. Undertaker Duncan S. Crowell, PO Box 14, Sheet Harbour, Halifax Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 26, 1971
CAUSE OF DEATH
(a) Pulmonary Edema
(b) Coronary Insufficiency
(c) Rheumatoid Arthritis
other Fracture of Vertebra, Hiatus Hernia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495584
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