Female Death Registration: Year: 1971 number: 4570
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004570
1. PLACE OF DEATH County of Lunenburg If in City or Town Chester Basin
If death occured in a hospital or institution Chester Basin
3. PRINT NAME OF DECEASED Corkum, Emma Bell
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 25, 1906
10. AGE in Years64 Months7 Days25 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Ross Corkum
16. NAME of Father Henry Bennett
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lila Ward
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Henry Ellsworth Bennett
address Canning, Kings Co.
Relationship to deceased Brother
21. Place of burial Chester Basin
Date of burial July 24, 1971
22. Undertaker Davis Funeral Home, Chester
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 20, 1971
CAUSE OF DEATH
(a) Myocardial infarction
(b) Hypothyroidism
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496645
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