Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Sarah Gascoyne death at New Glasgow, Pictou County on July 22, 1970
Female Death Registration: Year: 1970 number: 5147
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005147
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED Gascoyne, Sarah
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE England
9. DATE OF BIRTH 11 5, 1881
10. AGE in Years88 Months8 Days17 | hrs or mins
11. Trade or profession
12. Kind of industry At Home
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Ralph Monks
17. BIRTHPLACE England
18. NAME of Mother Rachel Taylor
19. BIRTHPLACE England
20. Signature of Informant Mrs. Dane MacLeod
address Princess Ave. Trenton
Relationship to deceased Daughter
21. Place of burial Heatherdale Memorial Gardens, Sylvester
Date of burial July 25, 1970
22. Undertaker R.H. Porter Funeral Homes Ltd. Stellarton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 22, 1970
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b)
(c)
other
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