Female Death Registration: Year: 1971 number: 5071
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005071
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Moshers Rest Home
3. PRINT NAME OF DECEASED Hines, Nora Geneva
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Pubnico, Yar. County
9. DATE OF BIRTH 8 17, 1881
10. AGE in Years89 Months11 Days25 | hrs or mins
11. Trade or profession Retired
12. Kind of industry School Teacher
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Capt. Robert Hines
17. BIRTHPLACE Pubnico
18. NAME of Mother Elsie Goodwin
19. BIRTHPLACE Pubnico
20. Signature of Informant Henri A. Brezet
address Box 473, Yarmouth, N. A.
Relationship to deceased Nephew
21. Place of burial Pubnico, Yar. Co. N. S.
Date of burial August 15, 1971
22. Undertaker Sweeny's Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 11, 1971
CAUSE OF DEATH
(a) Cerebel Thrombosis
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497145
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