Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Annie Simpson Adams death at Coxheath, Cape Breton County on December 14, 1970
Female Death Registration: Year: 1970 number: 7425
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007425
1. PLACE OF DEATH County of Cape Breton If in City or Town Coxheath
3. PRINT NAME OF DECEASED Adams, Annie Simpson
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Glasgow, Scotland
9. DATE OF BIRTH 6 14, 1882
10. AGE in Years88 Months6 Days | hrs or mins
11. Trade or profession at home
12. Kind of industry
13. Date last worked Dec. 8, 1970 14. Total years
15. If married name of spouse
16. NAME of Father Samuel Simpson
17. BIRTHPLACE Scotland
18. NAME of Mother Christine Kirkwood
19. BIRTHPLACE Scotland
20. Signature of Informant William Adams
address Coxheath, C.R.
Relationship to deceased Son
21. Place of burial MacGreggor Memorial, Sydney River C.B.
Date of burial Dec.16, 1970
22. Undertaker H. Fillmore Funeral Home Ltd, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 14, 1970
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Cerebral Hemorrhage
(c) Arterioscleriosis
other Congestive Heart Failure
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