Female Death Registration: Year: 1971 number: 3960
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003960
1. PLACE OF DEATH County of Shelburne If in City or Town Shelburne
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Orchard, Ethel Lillian
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE McNutts Island, Shelburne County
9. DATE OF BIRTH 5 6, 1887
10. AGE in Years84 Months Days29 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1968 14. Total years
15. If married name of spouse Mr. Otis Orchard
16. NAME of Father George Henry Rapp
17. BIRTHPLACE McNutts Island, Shel. Co., Nova Scotia
18. NAME of Mother Annie Maria Perry
19. BIRTHPLACE McNutts Island, Shel. County, Nova Scotia
20. Signature of Informant R. L. Orchard
address 30 Broad Street, Lunenburg, NS
Relationship to deceased Son
21. Place of burial Carleton Village, Shelburne County, NS
Date of burial June 5, 1971
22. Undertaker Harold Huskilson, Shelburne, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 3, 1971
CAUSE OF DEATH
(a) Cardiovascular Accident
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496036
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