Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Kathy Lynn Marie Fagan death at Springhill, Cumberland County on January 4, 1971
Female Death Registration: Year: 1971 number: 1750
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001750
1. PLACE OF DEATH County of Cumberland If in City or Town Springhill
If death occured in a hospital or institution D.O.A. All Saints Hospital
3. PRINT NAME OF DECEASED Fagan, Kathy Lynn Marie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Springhill
9. DATE OF BIRTH 11 2, 1965
10. AGE in Years5 Months2 Days2 | hrs or mins
11. Trade or profession Preschool child
12. Kind of industry
13. Date last worked Jan.4/71 14. Total years 5
15. If married name of spouse
16. NAME of Father Ernest Philip Fagan
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mabel Esta Berry
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Ernest P. Fagan
address 97 McGee St., Springhill
Relationship to deceased Father
21. Place of burial Springhill
Date of burial January 7, 1971
22. Undertaker A.H. Brown Funeral Service Ltd., Springhill
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 4, 1971
CAUSE OF DEATH
(a) Awaiting report of post-mortem
(b)
(c)
other
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