Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Emily Payne death at Glace Bay, Cape Breton County on January 9, 1971
Female Death Registration: Year: 1971 number: 1213
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001213
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution Glace Bay General Hospital
3. PRINT NAME OF DECEASED Payne, Emily
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 16, 1889
10. AGE in Years81 Months4 Days24 | hrs or mins
11. Trade or profession House wife
12. Kind of industry At home
13. Date last worked 14. Total years
15. If married name of spouse Frank Payne
16. NAME of Father Philip Hawkins
17. BIRTHPLACE England
18. NAME of Mother Susan Budge
19. BIRTHPLACE
20. Signature of Informant Louis Payne
address Sydney
Relationship to deceased son
21. Place of burial Greenwood Cemetery, Glace Bay
Date of burial 11 January 1971
22. Undertaker Patten's Funeral Home Ltd.. Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 9, 1971
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b) Chronic Pulmonary Fibrosis
(c)
other
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