Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Annie Belle Bagley death at Caledonia, Queens County on April 10, 1970
Female Death Registration: Year: 1970 number: 2943
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002943
1. PLACE OF DEATH County of Queens If in City or Town Caledonia
If death occured in a hospital or institution North Queens Nursing Home
3. PRINT NAME OF DECEASED Bagley, Annie Belle
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Beach Meadows
9. DATE OF BIRTH 12 11, 1879
10. AGE in Years90 Months3 Days29 | hrs or mins
11. Trade or profession Retired Housewife
12. Kind of industry
13. Date last worked 1959 14. Total years
15. If married name of spouse Late John F. Bagley
16. NAME of Father John Mouzat
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Cecelia Townsend
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Roland Bagley
address Liverpool, Queens County
Relationship to deceased Son
21. Place of burial Beach Meadows, Queens Co.
Date of burial 12 April 1970
22. Undertaker Chandler's Funeral Home, Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 10, 1970
CAUSE OF DEATH
(a) Pulmonary Oedema
(b) Myocardial Insufficiency
(c) Upper Respiratory Infection
other
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