Female Death Registration: Year: 1971 number: 7730
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007730
1. PLACE OF DEATH County of Pictou If in City or Town Westville
3. PRINT NAME OF DECEASED Evans, Annie Ola
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 4, 1892
10. AGE in Years79 Months11 Days26 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse William Evans
16. NAME of Father John A. MacLeod
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie G. MacDonald
19. BIRTHPLACE Nova Scotia
20. Signature of Informant E. Earl Campbell
address 1964 King St. East Hamilton, Ontario
Relationship to deceased Son
21. Place of burial Auburn Cemetery, Westville
Date of burial January 2, 1972
22. Undertaker Eagles Funeral Home, Westville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 30, 1971
CAUSE OF DEATH
(a) Cerebral Hemorrhage
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499802
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