Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ellen V. Drew death at Pugwash, Cumberland County on October 9, 1971
Female Death Registration: Year: 1971 number: 6344
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006344
1. PLACE OF DEATH County of Cumberland If in City or Town Pugwash
If death occured in a hospital or institution North Cumberland Memorial Hospital
3. PRINT NAME OF DECEASED Drew, Ellen V.
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
widowed
8. BIRTHPLACE South Pugwash
9. DATE OF BIRTH 3 10, 1871
10. AGE in Years100 Months6 Days29 | hrs or mins
11. Trade or profession House Wife
12. Kind of industry
13. Date last worked 1965 14. Total years 75
15. If married name of spouse
16. NAME of Father George Van Buskirk
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Emeline Sarson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Thomas Van Buskirk
address 32 Main St. Truro
Relationship to deceased Brother
21. Place of burial Pugwash
Date of burial October 11, 1971
22. Undertaker W.I. Mundle, Pugwash
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 9, 1971
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b)
(c)
other
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