Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Annie Bailey death at Glace Bay, Cape Breton County on March 17, 1971
Female Death Registration: Year: 1971 number: 2712
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002712
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution Glace Bay General Hospital
3. PRINT NAME OF DECEASED Bailey, Annie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE England
9. DATE OF BIRTH 2 25, 1887
10. AGE in Years84 Months0 Days20 | hrs or mins
11. Trade or profession Widowed
12. Kind of industry At Home
13. Date last worked 14. Total years
15. If married name of spouse Ezra Bailey
16. NAME of Father William Gurney
17. BIRTHPLACE England
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Miss Martha Bailey
address RR1, Glace Bay
Relationship to deceased Daughter
21. Place of burial Donkin, Cape Breton
Date of burial March 20, 1971
22. Undertaker Patten's Funeral Home Ltd., 71 Union St., Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 17, 1971
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b)
(c) Congestive Heart Failure
other
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