Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Elada May Shaw death at South Berwick, Kings County on October 22, 1971
Female Death Registration: Year: 1971 number: 6270
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006270
1. PLACE OF DEATH County of Kings If in City or Town South Berwick
If death occured in a hospital or institution Grand View Manor Sr. Citizens Home, South Berwick
3. PRINT NAME OF DECEASED Shaw, Elada May
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Scott's Bay
9. DATE OF BIRTH 7 8, 1883
10. AGE in Years88 Months3 Days14 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Wyman Shaw
16. NAME of Father Newton Corkum
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Eudauzila Bennett
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. David Jess
address Windsor
Relationship to deceased Daughter
21. Place of burial Scott's Bay
Date of burial October 25, 1971
22. Undertaker H. C. Lindsay, Kentville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 22, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) ASAD
(c) CBS
other
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