Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Paula Denise MacCulloch death at Mount Thom, Pictou County on March 10, 1971
Female Death Registration: Year: 1971 number: 2655
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002655
1. PLACE OF DEATH County of Pictou If in City or Town Mount Thom
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED MacCulloch, Paula Denise
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 15, 1970
10. AGE in Years Months2 Days25 | 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 Harvey MacCulloch
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Linda Cluney
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Harvey MacCulloch
address RR #1 Saltsprings Pictou Co.
Relationship to deceased father
21. Place of burial Stillman, Saltspring, Pictou Co, NS
Date of burial March 12 1971
22. Undertaker McLaren Funeral Home, Pictou
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 10, 1971
CAUSE OF DEATH
(a) Trachio-bronchial pneumonia
(b)
(c)
other
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