Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Florence Wanetta Nickerson death at Yarmouth, Yarmouth County on July 1, 1971
Female Death Registration: Year: 1971 number: 4856
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004856
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Nickerson, Florence Wanetta
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 20, 1914
10. AGE in Years56 Months8 Days17 | hrs or mins
11. Trade or profession
12. Kind of industry Housework
13. Date last worked July 1/71 14. Total years 38 yrs
15. If married name of spouse Aubrey Nickerson
16. NAME of Father Garfield Pierce
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Kathline Nickerson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Aubrey Nickerson
address Woods Harbor
Relationship to deceased Husband
21. Place of burial Woods Harbour
Date of burial July 3, 1971
22. Undertaker Kenney Funeral Service Barrington Shel. Co. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 1, 1971
CAUSE OF DEATH
(a) Tear of azygos vein with cardiac tamponade
(b)
(c)
other
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