Female Death Registration: Year: 1970 number: 4146
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004146
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution Glace Bay General Hospital
3. PRINT NAME OF DECEASED Stewart, Agnes
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Scotland
9. DATE OF BIRTH 2 27, 1897
10. AGE in Years73 Months3 Days28 | hrs or mins
11. Trade or profession Widow
12. Kind of industry at home
13. Date last worked 14. Total years
15. If married name of spouse John Stewart (dec'd)
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant John Stewart
address Scotchtown, Reserve
Relationship to deceased Son
21. Place of burial Forest Haven
Date of burial June 27 1970
22. Undertaker Patten Funeral Home Ltd, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 24, 1970
CAUSE OF DEATH
(a) Acute Coronary Occlusion
(b) Arterosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489455
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