Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Agnes Agatha Merlin death at Glace Bay, Cape Breton County on October 11, 1970

Female Death Registration: Year: 1970 number: 6022

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006022

1. PLACE OF DEATH   County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital

3. PRINT NAME OF DECEASED Merlin, Agnes Agatha

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

Irish

7. Single, Married

widowed

8. BIRTHPLACE Campbellton, New Brunswick

9. DATE OF BIRTH 11  22, 1889

10. AGE in  Years80  Months10  Days19 | hrs or mins

11. Trade or profession Household Duties

12. Kind of industry at home

13. Date last worked September 1969       14. Total years

15. If married name of spouse Edward Merlin

16. NAME of Father Charles Layes

17. BIRTHPLACE Campbellton, New Brunswick

18. NAME of Mother Mary Jane O'Callahan

19. BIRTHPLACE New Brunswick

20. Signature of Informant Mrs. Bernard Burton

      address 26 Alexander St. Glace Bay

      Relationship to deceased Daughter

21. Place of burial St. Anne's, Glace Bay

      Date of burial October 13, 1970

22. Undertaker V.J. McGillivray Funeral Homes Ltd. Glace Bay

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 11, 1970

CAUSE OF DEATH

(a) General Alteroscliosis

(b) CVA

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491329

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