Female Death Registration: Year: 1971 number: 5666
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005666
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Miller, Carrie May
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Doctors Cove, Shelburne County
9. DATE OF BIRTH 12 30, 1892
10. AGE in Years78 Months8 Days10 | hrs or mins
11. Trade or profession At Home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Isaac A. Banks
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ada L. Swim
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Miss. Evelyn Banks
address 17 Alma Street, Yarmouth, NS
Relationship to deceased Sister
21. Place of burial Yarmouth, NS
Date of burial 12 September 1971
22. Undertaker Sweeny's Funeral Home, Yarmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 9, 1971
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b) Rheumatic Heart Disease
(c) Mitral Regurgitation
other Pulmonary Edema with Cardiomegaly
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497740
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