Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jessie MacInnis death at Sydney, Cape Breton County on August 14, 1970
Female Death Registration: Year: 1970 number: 4923
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004923
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City Hospital
3. PRINT NAME OF DECEASED MacInnis, Jessie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Jersey Cove
9. DATE OF BIRTH 9 21, 1874
10. AGE in Years95 Months10 Days24 | hrs or mins
11. Trade or profession at home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John Manogomery
17. BIRTHPLACE Jersey Cove
18. NAME of Mother Elizabeth MacDonald
19. BIRTHPLACE Rocky Side
20. Signature of Informant Horace MacInnis
address 159 Montieth Ave. Westmount
Relationship to deceased Son
21. Place of burial MacDonald Memorial Cemetery Breton CoveVict.Co. .Nova Scotia
Date of burial Aug. 17 1970
22. Undertaker R.H. Fillmore Funeral Home, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 14, 1970
CAUSE OF DEATH
(a) Cerebrovascular Accident
(b) Generalized Arteriosclerosis
(c)
other
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