Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Eva Mae Willis death at Tidnish Bridge, Cumberland County on August 31, 1971
Female Death Registration: Year: 1971 number: 5502
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005502
1. PLACE OF DEATH County of Cumberland If in City or Town Tidnish Bridge
If death occured in a hospital or institution Mason's Nursing Home
3. PRINT NAME OF DECEASED Willis, Eva Mae
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scotish
7. Single, Married
widowed
8. BIRTHPLACE Shubenacadie
9. DATE OF BIRTH 2 11, 1888
10. AGE in Years83 Months6 Days20 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1970 14. Total years Life
15. If married name of spouse Percy Willis
16. NAME of Father Anthony Cooke
17. BIRTHPLACE Shubenacadie
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Alonzo Williams
address 26 Fairview Ave, Amherst
Relationship to deceased Son-in-law
21. Place of burial H.V. Cemetery, Amherst
Date of burial Sept 3, 1971
22. Undertaker Furlong's Funeral Home, Ltd. Amherst, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 31, 1971
CAUSE OF DEATH
(a) Cerebral anoxia
(b) cerebral arteriosclerosis
(c) Age
other
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