Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Elizabeth Hurlburt death at Yarmouth, Yarmouth County on November 19, 1971
Female Death Registration: Year: 1971 number: 6827
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006827
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Hurlburt, Elizabeth
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 3 10, 1886
10. AGE in Years85 Months8 Days9 | hrs or mins
11. Trade or profession At Home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Delancey Bain
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Winston E. Hurlburt
address Kemptville, Yarmouth Co., NS
Relationship to deceased Son
21. Place of burial Kemptville, Yarmouth Co., NS
Date of burial 21 November 1971
22. Undertaker Sweeny's Funeral Home, Yarmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 19, 1971
CAUSE OF DEATH
(a) Perforated Gastric Ulcer
(b)
(c)
other Atherosclerosis
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