Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Ann Waite death at New Glasgow, Pictou County on January 18, 1970
Female Death Registration: Year: 1970 number: 1906
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001906
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Glen Haven Manor, New Glasgow
3. PRINT NAME OF DECEASED Waite, Mary Ann
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE England
9. DATE OF BIRTH 12 3, 1882
10. AGE in Years87 Months1 Days15 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Robert Waite
16. NAME of Father Unkown
17. BIRTHPLACE
18. NAME of Mother Unkown
19. BIRTHPLACE
20. Signature of Informant Wilfred Waite
address James St. New Glasgow
Relationship to deceased Son
21. Place of burial Brookside, Stellarton
Date of burial Jan. 20m 1970 3:30
22. Undertaker Angus New Glasgow
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 18, 1970
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b) Generalized astersclrious
(c)
other
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