Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ella Josephine Kaulbach death at Liverpool, Queens County on November 27, 1971
Female Death Registration: Year: 1971 number: 7100
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007100
1. PLACE OF DEATH County of Queens If in City or Town Liverpool
If death occured in a hospital or institution Queens General Hospital
3. PRINT NAME OF DECEASED Kaulbach, Ella Josephine
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
White
7. Single, Married
8. BIRTHPLACE Port Mouton, Queens
9. DATE OF BIRTH 1 8, 1902
10. AGE in Years69 Months10 Days19 | hrs or mins
11. Trade or profession retired
12. Kind of industry housewife
13. Date last worked 1970 14. Total years
15. If married name of spouse Rupert C. S. Kaulbach
16. NAME of Father Stanley Fisher
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie Dorey
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Carl S. Melford
address Liverpool, Queens Co., NS
Relationship to deceased Executor
21. Place of burial Lunenburg, NS
Date of burial 29 November 1971
22. Undertaker Chandlers' Funeral Home, Liverpool, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 27, 1971
CAUSE OF DEATH
(a) Carcinoma of Pancreas
(b)
(c)
other
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