Female Death Registration: Year: 1971 number: 3286
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003286
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City Hospital, Sydney, NS
3. PRINT NAME OF DECEASED MacCormack, Maria
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Bergio, Nfld
9. DATE OF BIRTH 1 27, 1903
10. AGE in Years68 Months2 Days29 | hrs or mins
11. Trade or profession at home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Steven Vatcher
17. BIRTHPLACE Nfld
18. NAME of Mother Elizabeth Hall
19. BIRTHPLACE Nfld
20. Signature of Informant Robert MacCormack
address 712 Winnifred Sq, Glace Bay, NS
Relationship to deceased Son
21. Place of burial St Bartholomew Cemetery, Louisbourg, CB, NS
Date of burial April 27,1971
22. Undertaker R H Fillmore Funeral Home Ltd, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 25, 1971
CAUSE OF DEATH
(a) melanotic carcinoma
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495362
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