Female Death Registration: Year: 1970 number: 2509
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002509
1. PLACE OF DEATH County of Inverness If in City or Town Inverness
If death occured in a hospital or institution Inverness Co. Memorial Hospital
3. PRINT NAME OF DECEASED Smith, Annie Mae
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 21, 1899
10. AGE in Years70 Months6 Days5 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1969 14. Total years
15. If married name of spouse Angus J. Smith
16. NAME of Father Allan MacKinnon
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Margaret MacKinnon
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Margaret MacKinnon
address Forest St. Inverness
Relationship to deceased sister-in-law
21. Place of burial Hillsborough
Date of burial March 28, 1970
22. Undertaker S.D. Ingraham
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 26, 1970
CAUSE OF DEATH
(a) Hodgkins disease
(b) malnutrition due to fungal mass in oral cavity
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487821
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