Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Annie May Mason death at Berwick, Kings County on January 7, 1971
Female Death Registration: Year: 1971 number: 1775
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001775
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution Grand View Manor
3. PRINT NAME OF DECEASED Mason, Annie May
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 24, 1880
10. AGE in Years90 Months7 Days14 | hrs or mins
11. Trade or profession Housewife (retired)
12. Kind of industry
13. Date last worked 1969 14. Total years
15. If married name of spouse Theodore Mason (Deceased)
16. NAME of Father Thomas Redden
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Hilty
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Edwin Mason
address West Gore, Hants Co.
Relationship to deceased Son
21. Place of burial St. Paul's Cemetery, Rawdon
Date of burial January 9, 1971
22. Undertaker Withrow - McMillan, Upper Rawdon
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 7, 1971
CAUSE OF DEATH
(a) Myocardial Infarct
(b) ASHD
(c) Hypertension
other
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