Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Sarah MacInnis death at Sydney, Cape Breton County on January 7, 1971

Female Death Registration: Year: 1971 number: 1091

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 001091

1. PLACE OF DEATH   County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita's Hospital

3. PRINT NAME OF DECEASED MacInnis, Sarah

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

Scottish

7. Single, Married

widowed

8. BIRTHPLACE Broad Cove Banks, Inverness County

9. DATE OF BIRTH 1  16, 1891

10. AGE in  Years79  Months0  Days9 | hrs or mins

11. Trade or profession Housewife

12. Kind of industry at home

13. Date last worked 1960       14. Total years 50 yrs.

15. If married name of spouse

16. NAME of Father Rory MacDonald

17. BIRTHPLACE Broad Cove Banks, Inv. Co.

18. NAME of Mother Mary MacIsaac

19. BIRTHPLACE Broad Cove Banks, Inv. Co.

20. Signature of Informant Mrs. Dorothy J. Dicks

      address 33 Gates Ave., Toronto

      Relationship to deceased Daughter

21. Place of burial Stella Maris, Inverness

      Date of burial January 10, 1971

22. Undertaker Rod MacDonald Funeral Home, Inverness

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH January 7, 1971

CAUSE OF DEATH

(a) 2nd & 3rd Degree Burns ?ekue scalp, face, neck, anterior chest, arms & both hip areas

(b) ekue, scalp, face, neck, anterior chest, arms and both hip areas

(c) arterio sclerosis

other Chronic Brain Syndrome

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