Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Annie Roach death at Glace Bay, Cape County on May 21, 1971

Female Death Registration: Year: 1971 number: 3656

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 003656

1. PLACE OF DEATH   County of Cape If in City or Town Glace Bay
If death occured in a hospital or institution Glace Bay General Hospital

3. PRINT NAME OF DECEASED Roach, Annie

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

Scottish

7. Single, Married

widowed

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 12  6, 1890

10. AGE in  Years80  Months5  Days15 | hrs or mins

11. Trade or profession

12. Kind of industry at home

13. Date last worked       14. Total years

15. If married name of spouse John Roach

16. NAME of Father James  MacInnis

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Elizabeth Finalyson

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Job J Roach

      address 22 MacKenzie Street, Glace Bay

      Relationship to deceased son

21. Place of burial Forest Haven, Grand Lake Rd, Cape Breton Co. NS

      Date of burial May 24 - 1971

22. Undertaker Pattens Funeral Home Ltd. Glace Bay, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH May 21, 1971

CAUSE OF DEATH

(a) Carcinoma of Ascending Colon

(b)

(c)

other Arteriosclerosis & Diabetes

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495732

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