Female Death Registration: Year: 1971 number: 1592
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001592
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital
3. PRINT NAME OF DECEASED Cusack, Caroline
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 1, 1878
10. AGE in Years92 Months5 Days7 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Thomas Kehoe
17. BIRTHPLACE Cape Breton
18. NAME of Mother Ellen Connell
19. BIRTHPLACE Cape Breton
20. Signature of Informant James Cusack
address 44 Maple Avenue, Glace Bay
Relationship to deceased Son
21. Place of burial St. Theresa Cemetery, Sydney
Date of burial February 11, 1971
22. Undertaker T.W. Curry Funeral Home, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 8, 1971
CAUSE OF DEATH
(a) Acute myocardial infarction sec to arteriosclerotic & hypertension
(b)
(c)
other ? widespread Rheumatoid Arthritis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493670
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