Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mabel Willie Cleveland death at Yarmouth, Yarmouth County on July 7, 1971
Female Death Registration: Year: 1971 number: 4467
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004467
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 Cleveland, Mabel Willie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Shortbeach, Yarmouth County
9. DATE OF BIRTH 12 27, 1883
10. AGE in Years87 Months6 Days10 | 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 Norman Harris
17. BIRTHPLACE Yarmouth Co.
18. NAME of Mother Francis Dunham
19. BIRTHPLACE Arcadia, Yar. Co.
20. Signature of Informant Vernon G. Cleveland
address 233 Forest St., Yar.
Relationship to deceased Son
21. Place of burial Yarmouth
Date of burial July 10, 1971
22. Undertaker Sweeny's Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 7, 1971
CAUSE OF DEATH
(a) Cardiovascular Accident
(b) Rights
(c) Hypertension
other
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