Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Helen Mahoney death at Cheticamp, Inverness County on December 22, 1970
Female Death Registration: Year: 1970 number: 7741
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007741
1. PLACE OF DEATH County of Inverness If in City or Town Cheticamp
If death occured in a hospital or institution Sacred Heart Hospital
3. PRINT NAME OF DECEASED Mahoney, Helen
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Shawano, Wisconsin
9. DATE OF BIRTH 6 10, 1898
10. AGE in Years72 Months6 Days12 | 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 Paul Melborn
17. BIRTHPLACE Germany
18. NAME of Mother Ida Brock
19. BIRTHPLACE Germany
20. Signature of Informant Hospital
address Sacred Heart, Cheticamp
Relationship to deceased None
21. Place of burial Margaree
Date of burial 24 Dec 1970
22. Undertaker H H Chiasson & Son, Cheticamp
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 22, 1970
CAUSE OF DEATH
(a) Pneumonia
(b)
(c)
other
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