Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Anna Jean Scott death at Sydney, Cape Breton County on February 8, 1971

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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