Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Elsie Maud Nickerson death at Lower Clarks Harbour, Shelburne County on August 21, 1971
Female Death Registration: Year: 1971 number: 5296
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005296
1. PLACE OF DEATH County of Shelburne If in City or Town Lower Clarks Harbour
If death occured in a hospital or institution Lower Clarks Harbor
3. PRINT NAME OF DECEASED Nickerson, Elsie Maud
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 30, 1882
10. AGE in Years88 Months11 Days24 | hrs or mins
11. Trade or profession Housewife at home
12. Kind of industry
13. Date last worked 1969 14. Total years 67 yrs
15. If married name of spouse Nathan A. NIckerson
16. NAME of Father Israel Nickerson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sarah Ann Stoddard
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Joseph Atwood
address Lower Clarks Harbor, NS
Relationship to deceased Daughter
21. Place of burial Lower Clarks Harbor, NS
Date of burial August 25, 1971
22. Undertaker Kenney Funeral Service, Barrington, Shel Co
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 21, 1971
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b) cerebral atherosclerosis
(c) Generalized arteriosclerosis
other
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