Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Cassie Ellen Penney death at South Side, Shelburne County on April 2, 1971
Female Death Registration: Year: 1971 number: 2669
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002669
1. PLACE OF DEATH County of Shelburne If in City or Town South Side
3. PRINT NAME OF DECEASED Penney, Cassie Ellen
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 2, 1887
10. AGE in Years83 Months9 Days | hrs or mins
11. Trade or profession Housework
12. Kind of industry
13. Date last worked 1968 14. Total years 62 yrs
15. If married name of spouse Hartley Penney
16. NAME of Father Daniel Nickerson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sarah A. Crowell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Lester Penney
address South Side, Shel. Co. NS
Relationship to deceased Son
21. Place of burial South Side, NS
Date of burial April 5, 1971
22. Undertaker Kenney Funeral Service, Barrington, Shel. Co, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 2, 1971
CAUSE OF DEATH
(a) Secondary Carcinoma of Urinary Bladder
(b) Adenocarcinoma of Urinary Bladder
(c)
other
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