Female Death Registration: Year: 1970 number: 4503
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004503
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Shaw, Mary Catherine
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 3, 1910
10. AGE in Years60 Months2 Days12 | hrs or mins
11. Trade or profession
12. Kind of industry At Home
13. Date last worked 14. Total years
15. If married name of spouse Robert Shaw
16. NAME of Father John Fitzpatrick
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Johanna Connors
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Robert Shaw
address St. Bernard St. Lourdes
Relationship to deceased Husband
21. Place of burial Our Lady of Lourdes, Lourdes
Date of burial July 18, 1970
22. Undertaker R.H. Porter Funeral Homes Ltd. Stellarton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 15, 1970
CAUSE OF DEATH
(a) Middle Cerebral Aueurasm rupture
(b) Pneumonia
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489812
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