Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Dolena Estelle Nicholson death at Reserve Mines, Cape Breton County on January 20, 1971
Female Death Registration: Year: 1971 number: 1726
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001726
1. PLACE OF DEATH County of Cape Breton If in City or Town Reserve Mines
If death occured in a hospital or institution Offical Row (at home)
3. PRINT NAME OF DECEASED Nicholson, Dolena Estelle
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 24, 1876
10. AGE in Years94 Months2 Days27 | hrs or mins
11. Trade or profession Widowed
12. Kind of industry at home
13. Date last worked 14. Total years
15. If married name of spouse Donald John Nicholson
16. NAME of Father William MacKay
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Catherine Sutherland
19. BIRTHPLACE Nova Scotia
20. Signature of Informant W.M. Nicholson
address Reserve Mines
Relationship to deceased Son
21. Place of burial Reserve Mines, C.B.
Date of burial January 23, 1971
22. Undertaker Patten's Funeral Home Ltd., 71 Union St., Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 20, 1971
CAUSE OF DEATH
(a) Congestive Heart Failure
(b) Hypertension
(c) Bradycardia
other
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