Female Death Registration: Year: 1971 number: 5068
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005068
1. PLACE OF DEATH County of Shelburne If in City or Town Sable River
If death occured in a hospital or institution Sable River Nursing Home
3. PRINT NAME OF DECEASED Nickerson, Viola Gertrude
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 11, 1892
10. AGE in Years79 Months1 Days29 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1951 14. Total years 40 yrs
15. If married name of spouse Delbert Nickerson
16. NAME of Father Benjamin Atkinson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Caroline
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Linda Smith
address Box 135 Barrington Passage, NS
Relationship to deceased Daughter
21. Place of burial Stoney Island, NS
Date of burial August 12, 1971
22. Undertaker Kenney Funeral Service, Barrington, Shel Co. N.S.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 10, 1971
CAUSE OF DEATH
(a) Arteriosclerotic heart disease
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497142
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