Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Maude Nickerson death at Yarmouth, Yarmouth County on October 16, 1971
Female Death Registration: Year: 1971 number: 6151
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006151
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 Nickerson, Maude
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Somerville, Yarmouth County
9. DATE OF BIRTH 5 16, 1891
10. AGE in Years80 Months5 Days | hrs or mins
11. Trade or profession Invalid
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
20. Signature of Informant Records, Municipal Home
address Arcadia, Yarmouth Co., NS
Relationship to deceased
21. Place of burial Pleasant Lake, Yarmouth Co., NS
Date of burial 20 October 1971
22. Undertaker Sweeny's Funeral Home, Yarmouth Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 16, 1971
CAUSE OF DEATH
(a) Primary Carcinoma of Liver
(b) Epilepsy
(c) _______?
other
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