Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ella Horton Perry death at Yarmouth, Yarmouth County on October 1, 1971
Female Death Registration: Year: 1971 number: 6058
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006058
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Perry, Ella Horton
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Chebogue, Yarmouth County
9. DATE OF BIRTH 6 18, 1883
10. AGE in Years88 Months3 Days13 | hrs or mins
11. Trade or profession At Home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Frederick Perry
17. BIRTHPLACE Chebogue, Yarmouth Co., NS
18. NAME of Mother Helen Perry
19. BIRTHPLACE Chebogue, Yarmouth Co., NS
20. Signature of Informant Walter Perry
address Chebogue, Yarmouth Co., NS
Relationship to deceased Nephew
21. Place of burial Chebogue, Yarmouth Co., NS
Date of burial 3 October 1971
22. Undertaker Sweeny's Funeral Home, Yarmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 1, 1971
CAUSE OF DEATH
(a) Acute Cholecystitis
(b)
(c)
other
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