Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Amy Isabel Black death at Amherst, Cumberland County on November 25, 1971
Female Death Registration: Year: 1971 number: 6921
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006921
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Lockhurt's Nursing Home
3. PRINT NAME OF DECEASED Black, Amy Isabel
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE East Amheart
9. DATE OF BIRTH 5 21, 1882
10. AGE in Years89 Months6 Days4 | hrs or mins
11. Trade or profession Registar Nurse
12. Kind of industry Nursing
13. Date last worked 1931 14. Total years 25 yrs
15. If married name of spouse N/A
16. NAME of Father Hon. Hiram Black
17. BIRTHPLACE East Amherst
18. NAME of Mother Elizabeth Smith
19. BIRTHPLACE Hants Co.
20. Signature of Informant Roderick Black
address 5735 Engles St. Halifax N.S.
Relationship to deceased Nephew
21. Place of burial Campbell's Funeral Home Amherst N.S.
Date of burial November 27, 1971
22. Undertaker Campbell's Funeral Home Amherst N.S.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 25, 1971
CAUSE OF DEATH
(a) Cerebral Vascular Accident
(b) Arteriosclerosis
(c)
other
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