Female Death Registration: Year: 1971 number: 5634
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005634
1. PLACE OF DEATH County of Hants If in City or Town Three Mile Plains
3. PRINT NAME OF DECEASED Shaw, Priscella Jane
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Cheverie, Hants County
9. DATE OF BIRTH 5 13, 1882
10. AGE in Years89 Months6 Days | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked 14. Total years
15. If married name of spouse Frances Shaw (deceased)
16. NAME of Father Donald Greenough
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sarah Phulong
19. BIRTHPLACE Sydney, Cape Breton Co., NS
20. Signature of Informant Mrs. Dorothy Brown
address 3 Mile Plains, Hants Co., NS
Relationship to deceased Daughter
21. Place of burial Maplewood, Windsor, Hants Co., NS
Date of burial 16 September 1971
22. Undertaker R. D. Lindsay, Windsor, Hants Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 13, 1971
CAUSE OF DEATH
(a) Pneumonia
(b) Cerebral Sclerosis
(c) Arteriosclerosis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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