Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ethel Amelia Surette death at Oak Park, Shelburne County on October 4, 1971
Female Death Registration: Year: 1971 number: 5953
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005953
1. PLACE OF DEATH County of Shelburne If in City or Town Oak Park
3. PRINT NAME OF DECEASED Surette, Ethel Amelia
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 20, 1916
10. AGE in Years55 Months0 Days14 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 3 October 1971 14. Total years 37
15. If married name of spouse Harvey Surette
16. NAME of Father Harold Hopkins
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Adelia Abbott
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Harvey Surette
address Oak Park, Barrington, Nova Scotia R.R. 1
Relationship to deceased Husband
21. Place of burial Barrington, Nova Scotia
Date of burial 6 October 1971
22. Undertaker Kenney Funeral Service
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 4, 1971
CAUSE OF DEATH
(a) Respiratory failure
(b) Acute asthmatic attack
(c)
other Myxoedema
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