Female Death Registration: Year: 1971 number: 6350
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006350
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 Humphrey, Lillian Belle
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Maccan
9. DATE OF BIRTH 4 2, 1898
10. AGE in Years73 Months6 Days28 | hrs or mins
11. Trade or profession School teacher
12. Kind of industry
13. Date last worked 1965 14. Total years 30
15. If married name of spouse William Humphrey
16. NAME of Father William C Ripley
17. BIRTHPLACE Maccan, Nova Scotia
18. NAME of Mother Cynthia Pipes
19. BIRTHPLACE Maccan, Nova Scotia
20. Signature of Informant Mrs. Mary Baldridge
address 54B Tinker St, Woodstock, NY, USA 12498
Relationship to deceased daughter
21. Place of burial Amherst Cemetery, Amherst, Nova Scotia
Date of burial Nov 4, 1971
22. Undertaker Furlong's Funeral Home, Amherst, Nova Scotia
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 30, 1971
CAUSE OF DEATH
(a) generalized peritonitis
(b) metastatic tumour liver, lung, nodes
(c) adenocarcinoma pelvis
other
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Note: There is a word after pelvis under Cause of Death (c) that is unable to be transcribed
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498423
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