Female Death Registration: Year: 1970 number: 4912
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004912
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital Co.
3. PRINT NAME OF DECEASED Churney, Matilda Gertrude
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Cape Breton
9. DATE OF BIRTH 7 3, 1910
10. AGE in Years60 Months1 Days4 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse William Francis
16. NAME of Father Timothy Donovan
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Isobel Hawley
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. William Francis Churney
address 1231 Pataan Drive. London Ontario
Relationship to deceased Husband
21. Place of burial St.Anne's Cemetery, Glace Bay
Date of burial Aug. 11, 1970
22. Undertaker T. W. Curry Ltd., Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 7, 1970
CAUSE OF DEATH
(a) Acute Myocardial Infarction and Acute Pulmonary Edema
(b) Cerebral Accident leading to Paralysis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490221
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