Female Death Registration: Year: 1970 number: 6669
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006669
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution Daughter's Home
3. PRINT NAME OF DECEASED Nickerson, Mary Agnes
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 3, 1886
10. AGE in Years84 Months2 Days1 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Harold B. Nickerson
16. NAME of Father B. Downes Newell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elvira Smith
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Laverna MacDonald
address 52 Caledonia Street, North Sydney
Relationship to deceased Daughter
21. Place of burial Liverpool
Date of burial Nov. 7, 1970
22. Undertaker W.J. Dooley Funeral Service Limited, North Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 4, 1970
CAUSE OF DEATH
(a) Carcinoma lung
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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