Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Carrie May Miller death at Yarmouth, Yarmouth County on September 9, 1971

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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