Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Emily Fancy death at South Brookfield, Queens County on August 3, 1970
Female Death Registration: Year: 1970 number: 4845
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004845
1. PLACE OF DEATH County of Queens If in City or Town South Brookfield
3. PRINT NAME OF DECEASED Fancy, Mary Emily
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Springfield
9. DATE OF BIRTH 12 12, 1891
10. AGE in Years78 Months7 Days21 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housewife
13. Date last worked August 1, 1970 14. Total years
15. If married name of spouse Maurice Fancy
16. NAME of Father James Norman Goucher
17. BIRTHPLACE Annapolis County
18. NAME of Mother Cecilia Woodsworth
19. BIRTHPLACE
20. Signature of Informant Laurie Fancy
address South Brookfield, Queen's County
Relationship to deceased Son
21. Place of burial North Brookfield
Date of burial August 5, 1970
22. Undertaker Chandlers' Funeral Service Limited, Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 3, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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