Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Annie Newsom death at Gabarus Lake, Cape Breton County on January 23, 1970
Female Death Registration: Year: 1970 number: 1581
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001581
1. PLACE OF DEATH County of Cape Breton If in City or Town Gabarus Lake
If death occured in a hospital or institution Gabarus Lake
3. PRINT NAME OF DECEASED Newsom, Annie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Gabarus Lake
9. DATE OF BIRTH 6 16, 1902
10. AGE in Years67 Months7 Days7 | hrs or mins
11. Trade or profession At home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Hugh MacDonald
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Flora MacDonald
19. BIRTHPLACE Hillside, Mira
20. Signature of Informant Sheldon W. Newsom
address 73 Lanard Rd., Malden, Massachusetts
Relationship to deceased Son
21. Place of burial Forestdale, Malden, Massachusetts, USA
Date of burial January 25, 1970
22. Undertaker R.H. Fillmore Funeral Home Ltd., Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 23, 1970
CAUSE OF DEATH
(a) Acute Coronary Infarction
(b)
(c)
other Great over-weight
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