Female Death Registration: Year: 1971 number: 3203
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003203
1. PLACE OF DEATH County of Inverness If in City or Town Inverness
If death occured in a hospital or institution St. Mary's Hospital
3. PRINT NAME OF DECEASED McInnis, Mary Belle
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Brook Village, Inv. County
9. DATE OF BIRTH 7 21, 1878
10. AGE in Years92 Months9 Days6 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry At home
13. Date last worked 1971 14. Total years 75 yrs
15. If married name of spouse
16. NAME of Father Ronald MacMaster
17. BIRTHPLACE Brook Village
18. NAME of Mother Jane MacDonald
19. BIRTHPLACE Brook Village
20. Signature of Informant Angus McInnis
address West Lake Ainslie, Inv. Co.
Relationship to deceased Son
21. Place of burial Inverness
Date of burial April 27, 1971
22. Undertaker Rod MacDonald, Port Hawkesbury Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 27, 1971
CAUSE OF DEATH
(a) Acute Cholecystitis
(b) Septic Shock
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495279
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