Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ada Helena MacAulay death at Sydney, Cape Breton County on April 15, 1971
Female Death Registration: Year: 1971 number: 3016
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003016
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Spring Garden Villa
3. PRINT NAME OF DECEASED MacAulay, Ada Helena
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Cape Breton
9. DATE OF BIRTH 6 30, 1911
10. AGE in Years59 Months9 Days16 | 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 David MacAulay
17. BIRTHPLACE Cape Breton
18. NAME of Mother Mary Kelly
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Bernard MacAulay
address 8 Howe St. Sydney
Relationship to deceased Brother
21. Place of burial Holy Cross Cemetery, Sydney, NS
Date of burial April 17, 1971
22. Undertaker T W Curry Ltd, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 15, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Chronic Pyelonephritis
(c)
other Severe congenital mental retardation
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