Female Death Registration: Year: 1970 number: 5108
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005108
1. PLACE OF DEATH County of Guysborough If in City or Town Stormont
If death occured in a hospital or institution Highway Accident
3. PRINT NAME OF DECEASED Ferguson, Carolyn Margaret
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 27, 1953
10. AGE in Years19 Months0 Days22 | hrs or mins
11. Trade or profession A School Studnet
12. Kind of industry School
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Robert Ferguson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Gloria Billard
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Robert Ferguson
address 29 Catherine St., Glace Bay
Relationship to deceased Father
21. Place of burial Forest House Gardens, Sydney
Date of burial August 22, 1970
22. Undertaker Pattens Funeral Home Ltd., Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 18, 1970
CAUSE OF DEATH
(a) Asphyxciation
(b) Drowning
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490416
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