Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Edgar Douglas Fillmore death at Amherst, Cumberland County on October 5, 1971
Male Death Registration: Year: 1971 number: 5905
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005905
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Lockhart's Nursing Home
3. PRINT NAME OF DECEASED Fillmore, Edgar Douglas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Amherst
9. DATE OF BIRTH 6 14, 1875
10. AGE in Years96 Months3 Days21 | hrs or mins
11. Trade or profession Retired Farmer
12. Kind of industry Farming
13. Date last worked 1950 14. Total years 46 years
15. If married name of spouse Ellen Jane Buck
16. NAME of Father Asa Fillmore
17. BIRTHPLACE Amherst, Cumberland Co., NS
18. NAME of Mother Elizabeth Carter
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Cecil Fillmore
address 18 Rupert Street, Amherst, Cumberland Co., NS
Relationship to deceased Son
21. Place of burial Amherst, Cumberland Co., NS
Date of burial 8 October 1971
22. Undertaker Campbell's Funeral Home, Amherst, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 5, 1971
CAUSE OF DEATH
(a) Arteriosclerosis
(b) Old Age
(c)
other
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