Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Eva Mae Gracie death at Glace Bay, Cape County on September 1, 1970
Female Death Registration: Year: 1970 number: 5236
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005236
1. PLACE OF DEATH County of Cape If in City or Town Glace Bay
If death occured in a hospital or institution Glace Bay General Hospital
3. PRINT NAME OF DECEASED Gracie, Eva Mae
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE L'Ardoise
9. DATE OF BIRTH 10 31, 1896
10. AGE in Years73 Months10 Days1 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry At Home
13. Date last worked June 1970 14. Total years
15. If married name of spouse Wilfred Gracie
16. NAME of Father Larry Briand
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Potie
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. John (Margaret) Nolan
address 645 David Street, Glace Bay
Relationship to deceased Daughter
21. Place of burial St. Anne's, Glace Bay Co.
Date of burial 3 September 1970
22. Undertaker V. J. McGillivray Funeral Homes Ltd., Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 1, 1970
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other
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