Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Catherine Small death at Sydney, Cape Breton County on July 11, 1970
Female Death Registration: Year: 1970 number: 4903
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004903
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution 150 St. Ann
3. PRINT NAME OF DECEASED Small, Catherine
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Cape Breton
9. DATE OF BIRTH 12 28, 1881
10. AGE in Years88 Months6 Days13 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Benjamin MacNeil
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Catherine MacNeil
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Michael MacIsaac
address 150 St. Ann's St. Sydney
Relationship to deceased Daughter
21. Place of burial St. Columbus Cem. Iona, Vict. Co.
Date of burial July 13, 1970
22. Undertaker T. W. Curry Limited, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 11, 1970
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other
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