Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Myrtle Nina Perry death at Yarmouth, Yarmouth County on August 13, 1971
Female Death Registration: Year: 1971 number: 5299
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005299
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Perry, Myrtle Nina
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Brizal Lake, Yar. Co
9. DATE OF BIRTH 9 3, 1890
10. AGE in Years80 Months11 Days10 | hrs or mins
11. Trade or profession at home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Lester Perry
16. NAME of Father Woodworth Cann
17. BIRTHPLACE Brizel Lake, Yar. Co., NS
18. NAME of Mother Cora Tedford
19. BIRTHPLACE Sandford, Yar. Co., NS
20. Signature of Informant Lester Perry
address Port Maitland, Yar. Co., NS
Relationship to deceased Husband
21. Place of burial Port Maitland, Yar. Co., NS
Date of burial Aug 15, 1971
22. Undertaker Sweeny's Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 13, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) Arteriosclerosis
(c)
other
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