Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Agnes Serroul death at Sydney Mines, Cape Breton County on June 23, 1970
Female Death Registration: Year: 1970 number: 4144
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004144
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
If death occured in a hospital or institution Harbour View Hospital
3. PRINT NAME OF DECEASED Serroul, Agnes
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 6, 1907
10. AGE in Years62 Months8 Days17 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry At home
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John Daniel O'Handley
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Ann O'Handley
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Harry Serroul
address Bras D'Or
Relationship to deceased Son
21. Place of burial St. Joseph's, Bras d'Or
Date of burial June 26, 1970
22. Undertaker George R. Francis, Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 23, 1970
CAUSE OF DEATH
(a) Pulmonary Oedema
(b) Cardiac failure
(c) Broncho-pleural-cutaneous fistula
other Carcinoma of breast
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