Female Death Registration: Year: 1971 number: 3107
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003107
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED MacSephney, Mary Kathleen
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 8, 1909
10. AGE in Years61 Months6 Days18 | hrs or mins
11. Trade or profession Registered Nurse
12. Kind of industry
13. Date last worked 15 Mar 71 14. Total years Life
15. If married name of spouse William MacSephney
16. NAME of Father Albro Miller
17. BIRTHPLACE NS
18. NAME of Mother Clementine Miller
19. BIRTHPLACE NS
20. Signature of Informant Christine Fox
address Box 104 Windsor, NS
Relationship to deceased Sister
21. Place of burial Springhill, NS
Date of burial 28 Apr'71
22. Undertaker Ettinger Funeral Service Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 26, 1971
CAUSE OF DEATH
(a) Septic Shock
(b) (illegible) Obstruction
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495183
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