Female Death Registration: Year: 1971 number: 2429
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002429
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Pazant Memorial Hospital
3. PRINT NAME OF DECEASED McCulloch, Mary Eliza
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Millers Creek, Hants County
9. DATE OF BIRTH 4 19, 1896
10. AGE in Years74 Months11 Days5 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Alonzo McCulloch
16. NAME of Father Harding Macumber
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Eunice Blackburn
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Alonzo McCulloch
address Scotch Village, NS
Relationship to deceased Husband
21. Place of burial Scotch Village, NS
Date of burial March 27, 1971
22. Undertaker Lindsay, Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 24, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Atheriosclerosis
(c)
other Hypertension
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494506
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