Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Kathleen Emma Miller death at Shubenacadie, Hants County on September 16, 1971
Female Death Registration: Year: 1971 number: 5774
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005774
1. PLACE OF DEATH County of Hants If in City or Town Shubenacadie
3. PRINT NAME OF DECEASED Miller, Kathleen Emma
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 4, 1912
10. AGE in Years54 Months4 Days12 | hrs or mins
11. Trade or profession House wife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse James Miller
16. NAME of Father Otis Nelson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Emma MacDaniel
19. BIRTHPLACE Nova Scotia
20. Signature of Informant James Miller
address Shubenacadie
Relationship to deceased Husband
21. Place of burial Mill Village
Date of burial 20 September 1971
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 16, 1971
CAUSE OF DEATH
(a) Bronchial Asthma
(b)
(c)
other
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