Female Death Registration: Year: 1970 number: 2798
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002798
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
3. PRINT NAME OF DECEASED Scott, Annie Jane
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 18, 1908
10. AGE in Years61 Months5 Days8 | 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 Robert H. Scott
16. NAME of Father Michael Fraser
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Janie MacDonald
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Leo Scott
address Kenningston Ave. Stellarton
Relationship to deceased Son
21. Place of burial Lourdes
Date of burial Mar 30, 1970
22. Undertaker MacQuarrie Stellarton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 26, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b) inelligible
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488110
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