Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Eva Mae Swallow death at Upper Tantallon, Halifax County on September 10, 1971

Female Death Registration: Year: 1971 number: 5511

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005511

1. PLACE OF DEATH   County of Halifax If in City or Town Upper Tantallon

3. PRINT NAME OF DECEASED Swallow, Eva Mae

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 10  21, 1874

10. AGE in  Years96  Months10  Days20 | hrs or mins

11. Trade or profession Retired

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse John

16. NAME of Father Peter  Blakaney

17. BIRTHPLACE NS

18. NAME of Mother Susan Heffler

19. BIRTHPLACE NS

20. Signature of Informant Ira Swallow

      address Upper Tantallon, Hfx Co., NS

      Relationship to deceased Son

21. Place of burial Mason's Point, NS

      Date of burial Sept 12, 1971

22. Undertaker J. Albert Walker

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 10, 1971

CAUSE OF DEATH

(a) Cerebrovascular Accident

(b) Cerebral Atherosclerosis

(c)

other

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