Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Eva Blanch Jollimore death at Sheet Harbour, Halifax County on August 1, 1971

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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