Female Death Registration: Year: 1971 number: 1991
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001991
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City Hospital Sydney, NS
3. PRINT NAME OF DECEASED Scott, Anna Jean
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE New Glasgow
9. DATE OF BIRTH 10 21, 1920
10. AGE in Years50 Months3 Days18 | 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 Douglas Scott
16. NAME of Father Harry Forbes
17. BIRTHPLACE Pictou Co, NS
18. NAME of Mother Catherine Forbes
19. BIRTHPLACE Pictou Co, NS
20. Signature of Informant Douglas Scott
address 3 Hospital St, Sydney, NS
Relationship to deceased Husband
21. Place of burial Hardwood Hill Cemetery, Sydney, NS
Date of burial Feb 11, 1971
22. Undertaker RH Fillmore Funeral Home Ltd, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 8, 1971
CAUSE OF DEATH
(a) Cirrhosis of the Liver
(b) Pyelonephritis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494069
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