Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Evangeline Sampson death at Sydney, Cape Breton County on December 22, 1971
Female Death Registration: Year: 1971 number: 7623
Click to view and save (right-click) each image above for free or contact us to Buy certified paper copies. | Send a correction
Click to view and save (right-click) each image above for free or contact us to Buy certified paper copies. | Send a correction
note: transcription publicly contributed - please contact us with comments, errors or omisions
PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007623
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Spring Garden Villa
3. PRINT NAME OF DECEASED Sampson, Evangeline
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE River Bourgeois, Richmond County
9. DATE OF BIRTH 8 27, 1890
10. AGE in Years81 Months3 Days30 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Henry Sampson
17. BIRTHPLACE River Bourgeois, Richmond Co., NS
18. NAME of Mother Henrietta Fougere
19. BIRTHPLACE River Bourgeois, Richmond Co., NS
20. Signature of Informant Mrs. Joseph A. Landry
address Sampsonville
Relationship to deceased Niece
21. Place of burial St. Peters Roman Catholic Cemetery
Date of burial December 24, 1971
22. Undertaker Alex A. Morrison, St. Peters
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 22, 1971
CAUSE OF DEATH
(a) Chronic Degenerative Myocarditis
(b) Arteriosclerosis
(c) Senile Psychoses & Diverticulitis
other
Keyword Search looks for the "term" (one word or number works best) you type throughout the whole record. It is less accurate than the advanced search but it does let you search for age, religion, mother's maiden name, etc. if transcribed.