Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Annie May MacLean death at Sydney, Cape Breton County on January 2, 1971
Female Death Registration: Year: 1971 number: 1084
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001084
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution King's Road (The Cove)
3. PRINT NAME OF DECEASED MacLean, Annie May
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Port Morien
9. DATE OF BIRTH 4 16, 1879
10. AGE in Years91 Months8 Days17 | hrs or mins
11. Trade or profession Household Duties
12. Kind of industry At home
13. Date last worked 10 yrs ago 14. Total years
15. If married name of spouse Neil MacLean, Dec.
16. NAME of Father Daniel MacAulay
17. BIRTHPLACE Port Morien
18. NAME of Mother Agnes Carmichael
19. BIRTHPLACE Port Morien
20. Signature of Informant G. Even MacAulay
address 30 Pellett Ave., New Waterford
Relationship to deceased Nephew
21. Place of burial Black Brook Cemetery, Port Morien
Date of burial January 4, 1971
22. Undertaker V.J. McGillivray Funeral Homes Limited, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 2, 1971
CAUSE OF DEATH
(a) Congestive Heart Failure
(b) Arteriosclerotic Heart Disease
(c)
other
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