Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Augusta Pearl Cleveland death at Springhill, Cumberland County on October 30, 1971
Female Death Registration: Year: 1971 number: 6351
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006351
1. PLACE OF DEATH County of Cumberland If in City or Town Springhill
If death occured in a hospital or institution All Saints Springhill Hospital
3. PRINT NAME OF DECEASED Cleveland, Augusta Pearl
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Flint Hill, Albert County, New Brunswick
9. DATE OF BIRTH 1 13, 1899
10. AGE in Years72 Months9 Days17 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1961 14. Total years 46
15. If married name of spouse Ashley Zenas Cleveland
16. NAME of Father Hazen Dobson
17. BIRTHPLACE New Brunswick
18. NAME of Mother Bertha Powers
19. BIRTHPLACE New Brunswick
20. Signature of Informant Mrs. Doris Warner
address 13 Morris St., Springhill, Nova Scotia
Relationship to deceased Daughter
21. Place of burial Elmwood Cemetery, Moncton, New Brunswick
Date of burial November 2, 1971
22. Undertaker A. H. Brown Funeral Service Ltd, Springhill, Nova Scotia
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 30, 1971
CAUSE OF DEATH
(a) Coronary thrombosis
(b) previous coronary
(c)
other
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