Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Miriam Arabelle Himmelman death at Caledonia, Queens County on September 3, 1971
Female Death Registration: Year: 1971 number: 5656
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005656
1. PLACE OF DEATH County of Queens If in City or Town Caledonia
If death occured in a hospital or institution North Queens Nursing Home
3. PRINT NAME OF DECEASED Himmelman, Miriam Arabelle
4. Sex
Female
5. Citizenship
American
6. Racial Origin
German
7. Single, Married
single
8. BIRTHPLACE Rose Bay, Lunenburg County
9. DATE OF BIRTH 1 25, 1909
10. AGE in Years62 Months7 Days9 | hrs or mins
11. Trade or profession Food Caterer
12. Kind of industry Catering
13. Date last worked 1969 14. Total years 20 years
15. If married name of spouse
16. NAME of Father Silas Himmelman
17. BIRTHPLACE Lunenburg Co., NS
18. NAME of Mother Louisa Backman
19. BIRTHPLACE Lunenburg Co., NS
20. Signature of Informant Charlotte L. Corkum
address Rose Bay, Lunenburg Co., NS
Relationship to deceased Sister
21. Place of burial Rose Bay, Lunenburg Co., NS
Date of burial 5 September 1971
22. Undertaker Dana L. Sweeny, Lunenburg, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 3, 1971
CAUSE OF DEATH
(a) Severe Acute Edemia of Lungs
(b) Pulmonary Stasis
(c) Cerebral Hemorrhage & Organic Brain Damage from ________?
other General Arteriosclerosis
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