Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Grace Relina Nickerson death at Halifax, Halifax County on September 8, 1971

Female Death Registration: Year: 1971 number: 5436

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005436

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital

3. PRINT NAME OF DECEASED Nickerson, Grace Relina

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

married

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 2  13, 1942

10. AGE in  Years29  Months6  Days26 | hrs or mins

11. Trade or profession Housework

12. Kind of industry

13. Date last worked August 1971       14. Total years 11 yrs

15. If married name of spouse Malcolm Nickerson

16. NAME of Father Alexander Hiltz

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Relina 

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Malcolm Nickerson

      address Lower Clarks Harbour, NS

      Relationship to deceased Husband

21. Place of burial Lower Clarks Harbour, SNS

      Date of burial September 12 1971

22. Undertaker Kenney Funeral Service, Barrington, Shelburne Co., NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 8, 1971

CAUSE OF DEATH

(a) Thymus Gland (Malignant Tumor)

(b)

(c)

other Chronic Mental Disease

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