Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Ann Syms death at New Waterford, Cape Breton County on August 4, 1970
Female Death Registration: Year: 1970 number: 5072
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005072
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
3. PRINT NAME OF DECEASED Syms, Mary Ann
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Reserve Mines
9. DATE OF BIRTH 4 4, 1909
10. AGE in Years61 Months4 Days0 | 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 William Syms
16. NAME of Father Guss Boutilier
17. BIRTHPLACE Reserve Mines
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. Anna Syms
address 17 -- 13th Street. New Waterford
Relationship to deceased Daughter
21. Place of burial Mt. Carmel, New Waterford
Date of burial August 6, 1970
22. Undertaker V.J. McGillivray Funeral Homes Limited, New Waterford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 4, 1970
CAUSE OF DEATH
(a) Chronic cor pulmonale
(b) Pulmonary Emphsems with chronic bronchitis
(c)
other Cerbral thrombosis with hemiphlegia, left
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