Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Sara Corning Hurlburt death at Yarmouth, Yarmouth County on September 4, 1971
Female Death Registration: Year: 1971 number: 5421
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005421
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 Hurlburt, Sara Corning
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Chegoggin Yar. County Nova Scotia
9. DATE OF BIRTH 6 14, 1893
10. AGE in Years78 Months2 Days21 | hrs or mins
11. Trade or profession Invalid
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father William H. MacConnell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Harriett E. Corning
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Vera E. Cain
address 15 Huntington St. Yar. NS
Relationship to deceased Sister
21. Place of burial Chegoggin Yar. NS
Date of burial Sept 7th 1971
22. Undertaker Sweeneys Funeral Home, Yarmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 4, 1971
CAUSE OF DEATH
(a) Cerebrovascular Accident
(b) Arteriosclerotic Heart and Brain Disease
(c)
other Very Senile
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