Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ernest William Embree death at Amherst, Cumberland County on October 25, 1971
Male Death Registration: Year: 1971 number: 6249
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006249
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Embree, Ernest William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Warren
9. DATE OF BIRTH 2 21, 1879
10. AGE in Years92 Months8 Days4 | hrs or mins
11. Trade or profession farmer
12. Kind of industry
13. Date last worked about 7 years ago 14. Total years life
15. If married name of spouse Jennie B. Embree
16. NAME of Father George Embree
17. BIRTHPLACE Warren
18. NAME of Mother Mary J. Smith
19. BIRTHPLACE Wentworth
20. Signature of Informant Douglas Embree
address RR#4 Amherst
Relationship to deceased son
21. Place of burial Warren
Date of burial Oct 27, 1971
22. Undertaker Furlong's Funeral Home Ltd., Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 25, 1971
CAUSE OF DEATH
(a) (a) due to Vascular Heart Disease
(b) (b) due to senility
(c)
other
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