Female Death Registration: Year: 1971 number: 7069
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007069
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital, Windsor
3. PRINT NAME OF DECEASED Seaboyer, Emma Mae
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
widowed
8. BIRTHPLACE Upper Vaughan, Hants County
9. DATE OF BIRTH 5 2, 1892
10. AGE in Years80 Months7 Days2 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked 1971 14. Total years 58 years
15. If married name of spouse
16. NAME of Father Benson Smeltzer
17. BIRTHPLACE NS
18. NAME of Mother Janice Swinamer
19. BIRTHPLACE NS
20. Signature of Informant David Seaboyer
address Upper Vaughan, Hants Co., NS
Relationship to deceased Son
21. Place of burial Windsor Forks, Hants Co., NS
Date of burial 7 December 1971
22. Undertaker R. D. Lindsay, Windsor, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 4, 1971
CAUSE OF DEATH
(a) Cerebral Contusion
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499141
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