Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Madonna Marie McMullin death at Glace Bay, Cape Breton County on January 11, 1971

Female Death Registration: Year: 1971 number: 1101

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 001101

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

3. PRINT NAME OF DECEASED McMullin, Madonna Marie

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

widowed

8. BIRTHPLACE Springhill

9. DATE OF BIRTH 1  14, 1894

10. AGE in  Years76  Months11  Days28 | hrs or mins

11. Trade or profession Household Duties

12. Kind of industry At Home

13. Date last worked 5 months ago       14. Total years Life

15. If married name of spouse Archie McMullin (dec.)

16. NAME of Father Eugene Gouthro

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Mary Margaret McCarron

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Mrs. John McKenzie

      address 35 Winslow St., Everett, Mass.

      Relationship to deceased Daughter

21. Place of burial St. Eugene Cemetery, Dominion, NS

      Date of burial January 14 , 1971

22. Undertaker V. J. McGillivray Funeral Homes Ltd., Resere St., Glace Bay

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH January 11, 1971

CAUSE OF DEATH

(a) Congestive Cardiac Failure

(b) Diabetes

(c) Atrial Flutter

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493179

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