Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Inez Mae Stevens death at Sandy Point, Shelburne County on August 16, 1971
Female Death Registration: Year: 1971 number: 5184
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005184
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Stevens, Inez Mae
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 25, 1925
10. AGE in Years45 Months7 Days22 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1970 14. Total years 20 yrs
15. If married name of spouse
16. NAME of Father Otis Farmer
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Cora Wilson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Wilbert Stevens
address Birchtown, NS
Relationship to deceased son
21. Place of burial Birchtown, NS
Date of burial August 19, 1971
22. Undertaker H.M. Huskilson, Shelburne, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 16, 1971
CAUSE OF DEATH
(a) carcinomatosis
(b) carcinoma cervix
(c)
other
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