Female Death Registration: Year: 1970 number: 7287
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007287
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution Carmichael Rest Home
3. PRINT NAME OF DECEASED Evans, Mary Alice
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Astley, England
9. DATE OF BIRTH 4 3, 1882
10. AGE in Years88 Months8 Days7 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked 1966 14. Total years 61
15. If married name of spouse John Benjamin Evans
16. NAME of Father John Brimelow
17. BIRTHPLACE England
18. NAME of Mother Alice Collier
19. BIRTHPLACE England
20. Signature of Informant Robert Evans
address 7 Astley St. Sydney Mines
Relationship to deceased Son
21. Place of burial Lakeside Cemetery, North Sydney
Date of burial December 13, 1970
22. Undertaker Fillmore and Whitman Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 10, 1970
CAUSE OF DEATH
(a) Pneumonia
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492593
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