Female Death Registration: Year: 1971 number: 3967
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003967
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Hubbard, Annie Celina
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Sluice Point, Yar. County Nova Scotia
9. DATE OF BIRTH 12 6, 1898
10. AGE in Years72 Months6 Days9 | 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 Zebedee Thibeau
17. BIRTHPLACE Yarmouth Co. NS
18. NAME of Mother Mary Victorine Muise
19. BIRTHPLACE Yarmouth Co. NS
20. Signature of Informant Walter Richard Hubbard
address 25 Ellis Ave. Yarmouth, NS
Relationship to deceased Son
21. Place of burial Yarmouth, NS
Date of burial June 17, 971
22. Undertaker Sweeny's Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 15, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) Hypertension
(c)
other Uremia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496043
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