Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Belle Shepard death at New Glasgow, Pictou County on January 1, 1971
Female Death Registration: Year: 1971 number: 1149
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001149
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Glen Haven Manor
3. PRINT NAME OF DECEASED Shepard, Mary Belle
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 4, 1884
10. AGE in Years86 Months6 Days28 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Late John H. Shepard
16. NAME of Father John MacIntyre
17. BIRTHPLACE U.S.A.
18. NAME of Mother Annie MacDonald
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Anna Deagle
address College St., Westville
Relationship to deceased Daughter
21. Place of burial Holy Name Cemetery, Westville
Date of burial January 4, 1971
22. Undertaker Eagles Funeral Home, Westville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 1, 1971
CAUSE OF DEATH
(a) pneumonia
(b) Influenza
(c)
other arteriosclerosis
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