Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ethel Mae Hills death at Kentville, Kings County on September 28, 1971
Female Death Registration: Year: 1971 number: 5785
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005785
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution Palmeters Nursing Home, Kentville
3. PRINT NAME OF DECEASED Hills, Ethel Mae
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 7 4, 1885
10. AGE in Years86 Months3 Days24 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE Halifax
20. Signature of Informant Mrs. J. Smith
address 18 Rosedale Ave. Halifax
Relationship to deceased Friend
21. Place of burial Camphill Cemetery, Halifax
Date of burial September 29, 1971
22. Undertaker John A. Snow
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 28, 1971
CAUSE OF DEATH
(a) Broncho pneumonia
(b)
(c)
other
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