Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Ann Campbell death at Inverness, Inverness County on January 16, 1971
Female Death Registration: Year: 1971 number: 1369
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001369
1. PLACE OF DEATH County of Inverness If in City or Town Inverness
If death occured in a hospital or institution St. Mary's Hospital, Inverness, NS
3. PRINT NAME OF DECEASED Campbell, Mary Ann
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Mabou
9. DATE OF BIRTH 11 28, 1893
10. AGE in Years77 Months1 Days19 | hrs or mins
11. Trade or profession Domestic
12. Kind of industry Housekeeping
13. Date last worked 1968 14. Total years 55
15. If married name of spouse
16. NAME of Father Alexander Campbell
17. BIRTHPLACE Mabou
18. NAME of Mother Jessie MacDonnell
19. BIRTHPLACE Mabou
20. Signature of Informant James Rankin
address Mabou, Inv Co, NS
Relationship to deceased nephew
21. Place of burial Mabou
Date of burial January 14, 1971
22. Undertaker Rod MacDonnell Funeral Home, Port Hawkesbury, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 16, 1971
CAUSE OF DEATH
(a) pneumonia
(b)
(c)
other
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