Female Death Registration: Year: 1971 number: 3777
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003777
1. PLACE OF DEATH County of Cumberland If in City or Town South Pugwash
3. PRINT NAME OF DECEASED Weatherby, Susan Emlyn
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE South Pugwash
9. DATE OF BIRTH 4 6, 1891
10. AGE in Years80 Months1 Days26 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked Nov. 1959 14. Total years
15. If married name of spouse
16. NAME of Father George VanBuskirk
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Emlyn Sarson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Miss. Connie Weatherby
address South Pugwash, Nova Scotia
Relationship to deceased Daughter
21. Place of burial Pugwash, Nova Scotia
Date of burial June 4, 1971
22. Undertaker W. I. Mundle, Pugwash, Nova Scotia
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 1, 1971
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b)
(c)
other Osteoarthritis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495853
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