Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Madeline Drinkwater death at Glace Bay, Cape Breton County on January 11, 1971
Female Death Registration: Year: 1971 number: 1102
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001102
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution 733 Mechanic Street
3. PRINT NAME OF DECEASED Drinkwater, Madeline
4. Sex
Female
5. Citizenship
American
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE South Boston, U.S.A.
9. DATE OF BIRTH 2 9, 1902
10. AGE in Years68 Months11 Days2 | hrs or mins
11. Trade or profession household duties
12. Kind of industry at home
13. Date last worked January 11/71 14. Total years life
15. If married name of spouse John Drinkwater (deceased)
16. NAME of Father George Seraphin Bushey
17. BIRTHPLACE Harbour Bauchie, C.B.
18. NAME of Mother Mary Elizabeth Walsh
19. BIRTHPLACE England
20. Signature of Informant Marie Drinkwater
address 733 Mechanic St., Glace Bay
Relationship to deceased Daughter
21. Place of burial Saint Annes Cemetery, Glace Bay
Date of burial January 14, 1971
22. Undertaker V. J. McGillivray Funeral Homes Limited, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 11, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) Generalized arteriosclerosis with senility
(c) hypertension
other
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