Female Death Registration: Year: 1971 number: 1575
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001575
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City Hospital
3. PRINT NAME OF DECEASED Bailey, Annie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 1 10, 1914
10. AGE in Years57 Months Days16 | hrs or mins
11. Trade or profession at home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Benjamin Bailey
16. NAME of Father Steven Flemyng
17. BIRTHPLACE Lamaline, Newfoundland
18. NAME of Mother Mary Flemyng
19. BIRTHPLACE Lamaline, Newfoundland
20. Signature of Informant L. Matheson per: Mr. Ben Bailey
address R.R. #1 Lingan Rd., Sydney
Relationship to deceased Husband
21. Place of burial Eastmount Cemetery, Sydney
Date of burial January 28, 1971
22. Undertaker R.H. Fillmore Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 26, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) Carcinoma ? liver
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493653
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