Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mattie Hudson Tomblin death at Antigonish, Antigonish County on June 12, 1971
Female Death Registration: Year: 1971 number: 3857
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003857
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED Tomblin, Mattie Hudson
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 2 7, 1905
10. AGE in Years66 Months4 Days5 | hrs or mins
11. Trade or profession at home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Arthur Ferguson
17. BIRTHPLACE Londonderry
18. NAME of Mother Clara Ferguson (Totten)
19. BIRTHPLACE Londonderry
20. Signature of Informant Mrs. Mattie Tomblin
address 78 Charlotte St., Sydney
Relationship to deceased Pre-arranged Funeral
21. Place of burial Forest Haven Memorial, Sydney-Glace Bay Highway, CB, NS
Date of burial June 15, 1971
22. Undertaker R. H. Fillmore Funeral Home Ltd., Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 12, 1971
CAUSE OF DEATH
(a) Fractured Skull
(b)
(c)
other Accident: passenger in 2-vehicle collision
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