Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Katherine Lively death at Sydney, Cape Breton County on March 22, 1971
Female Death Registration: Year: 1971 number: 2517
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002517
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City Hospital
3. PRINT NAME OF DECEASED Lively, Katherine
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Cape Breton
9. DATE OF BIRTH 8 10, 1884
10. AGE in Years86 Months7 Days12 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Alexander Matheson
17. BIRTHPLACE Cape Breton
18. NAME of Mother Catherine MacMullin
19. BIRTHPLACE Cape Breton
20. Signature of Informant Alex Lively
address 95 DesBarres St, Sydney, NS
Relationship to deceased son
21. Place of burial Holy Cross Cemetery, Sydney, NS
Date of burial March 25, 1971
22. Undertaker TW Curry Limited, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 22, 1971
CAUSE OF DEATH
(a) Carcinoma of breast
(b)
(c)
other
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