Female Death Registration: Year: 1971 number: 1237
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001237
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 McInnis, Mary Constance
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Glace Bay
9. DATE OF BIRTH 9 29, 1918
10. AGE in Years52 Months3 Days23 | hrs or mins
11. Trade or profession Baker
12. Kind of industry
13. Date last worked 21 Jan 1971 14. Total years 25
15. If married name of spouse
16. NAME of Father Alexander McInnis
17. BIRTHPLACE Port Morien, NS
18. NAME of Mother Mary MacLean
19. BIRTHPLACE New Glasgow, NS
20. Signature of Informant Mr. McInnis
address 20 Peel St., Glace Bay, NS
Relationship to deceased Brother
21. Place of burial St. Anthony’s Cemetery
Date of burial 24 January 1971
22. Undertaker V J McGillivray
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 21, 1971
CAUSE OF DEATH
(a) Cerebral Hemorrhage
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493315
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