Female Death Registration: Year: 1970 number: 2478
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002478
1. PLACE OF DEATH County of Cape If in City or Town 19 Peel St., Glace Bay
3. PRINT NAME OF DECEASED McPhee, Ada Mae
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 24, 1884
10. AGE in Years85 Months4 Days6 | hrs or mins
11. Trade or profession Household Duties
12. Kind of industry At Home
13. Date last worked 14. Total years
15. If married name of spouse J.J. McPhee Dec.
16. NAME of Father Henry Roach
17. BIRTHPLACE Leitches Creek
18. NAME of Mother Sarah Gouthro
19. BIRTHPLACE Leitches Creek
20. Signature of Informant Mrs. Pat [McDonaugh?]
address Park Street, Glace Bay
Relationship to deceased Daughter
21. Place of burial St. Anthony's Glace Bay
Date of burial April 1, 1970
22. Undertaker V.J. McGillivray Funeral Homes Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 30, 1970
CAUSE OF DEATH
(a) metastatic CA liver & [chest?]
(b)
(c) Cancer of Pancreas
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487791
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