Female Death Registration: Year: 1971 number: 4802
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004802
1. PLACE OF DEATH County of Halifax If in City or Town Sheet Harbour
If death occured in a hospital or institution Eastern Shore Memorial Hospital
3. PRINT NAME OF DECEASED Jollimore, Eva Blanch
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 25, 1911
10. AGE in Years60 Months Days6 | 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 Howard
16. NAME of Father John Westhaver
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Essie Wambolt
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Howard Jollimore
address Sheet Harbour
Relationship to deceased Husband
21. Place of burial Sober Island
Date of burial Aug 3, 1971
22. Undertaker Duncan S. Crowell, PO Box 14, Sheet Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 1, 1971
CAUSE OF DEATH
(a) Bleeding Ulcer
(b) Cancer Right Lung
(c) Severe Anemia
other Severe Pulmonary Insufficiency
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496877
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