Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Ann AuCoin death at Glace Bay, Cape Breton County on January 17, 1971
Female Death Registration: Year: 1971 number: 1567
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001567
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 AuCoin, Mary Ann
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Cheticamp
9. DATE OF BIRTH 9 19, 1897
10. AGE in Years73 Months3 Days29 | 0 hrs or 0 mins
11. Trade or profession Cook
12. Kind of industry Cape Breton Hospital
13. Date last worked Jan 15, 1971 14. Total years
15. If married name of spouse
16. NAME of Father Lubain Chiasson
17. BIRTHPLACE Cheticamp, Nova Scotia
18. NAME of Mother Catherine LeBlanc
19. BIRTHPLACE Cheticamp, Nova Scotia
20. Signature of Informant Joseph Paul AuCoin
address
Relationship to deceased Son
21. Place of burial St. Joseph's Cemetery, Glace Bay, Nova Scotai
Date of burial January 20, 1971
22. Undertaker Curry's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 17, 1971
CAUSE OF DEATH
(a) Acute Coronary Occlusion
(b)
(c)
other
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