Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Anna Emery death at New Glasgow, Pictou County on September 25, 1971
Female Death Registration: Year: 1971 number: 5945
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005945
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED Emery, Anna
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Danish
7. Single, Married
married
8. BIRTHPLACE Denmark
9. DATE OF BIRTH 2 11, 1912
10. AGE in Years59 Months7 Days14 | 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 Percy Emery
16. NAME of Father Oscar Jensen
17. BIRTHPLACE Denmark
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Leslie Emery
address R.R. #2, Pictou
Relationship to deceased son
21. Place of burial Durham
Date of burial 28 Sep 1971
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 25, 1971
CAUSE OF DEATH
(a) Ca Humerus
(b)
(c)
other
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