Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Priscella Jane Shaw death at Three Mile Plains, Hants County on September 13, 1971

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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