Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Esther Sophia Wagner death at Liverpool, Queens County on December 15, 1971
Female Death Registration: Year: 1971 number: 7324
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007324
1. PLACE OF DEATH County of Queens If in City or Town Liverpool
3. PRINT NAME OF DECEASED Wagner, Esther Sophia
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Port Mouton
9. DATE OF BIRTH 7 13, 1884
10. AGE in Years87 Months5 Days2 | hrs or mins
11. Trade or profession reitred
12. Kind of industry housewife
13. Date last worked 1969 14. Total years
15. If married name of spouse Marsden B. Wagner
16. NAME of Father Walter H Cooke
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ella J Hatt
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Hazel Cooke
address Liverpool, NS
Relationship to deceased sister-in-law
21. Place of burial Port Mouton
Date of burial December 17, 1971
22. Undertaker Chandlers' Funeral Service Ltd., Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 15, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b)
(c)
other
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