Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Nora Geneva Hines death at Yarmouth, Yarmouth County on August 11, 1971

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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