Female Death Registration: Year: 1971 number: 3458
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003458
1. PLACE OF DEATH County of Shelburne If in City or Town Lockeport
If death occured in a hospital or institution Surf lodge Nursing Home
3. PRINT NAME OF DECEASED McGray, Susan E.
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 16, 1873
10. AGE in Years97 Months7 Days3 | hrs or mins
11. Trade or profession Housework
12. Kind of industry
13. Date last worked Sept 1970 14. Total years 79 yrs
15. If married name of spouse Barak W McGray
16. NAME of Father Marsden Penney
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Matilda Kenney
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Percy McGray
address Clarks Harbor, Shel. Co. NS
Relationship to deceased son
21. Place of burial Clarks Harbor, NS
Date of burial May 23, 1971
22. Undertaker Kenney Funeral Service, Barrington, Shel. Co, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 19, 1971
CAUSE OF DEATH
(a) Pulmonary Oedema
(b) Coronary Heart Disease
(c)
other Generalized Arteriosclerosis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495534
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