Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Shelley Marie Gould death at Sydney, Cape Breton County on March 11, 1970
Female Death Registration: Year: 1970 number: 5598
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005598
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital
3. PRINT NAME OF DECEASED Gould, Shelley Marie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Mi'kmaq
7. Single, Married
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 11 2, 1969
10. AGE in Years Months4 Days8 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Francis Gould
17. BIRTHPLACE Cape Breton
18. NAME of Mother Janet Rose Denny
19. BIRTHPLACE Cape Breton
20. Signature of Informant Francis Gould
address Eskasoni
Relationship to deceased Father
21. Place of burial Eskasoni
Date of burial March 13, 1970
22. Undertaker T. W. Curry, Limited, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 11, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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