Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Agnes Pickup death at Glace Bay, Cape Breton County on May 31, 1971
Female Death Registration: Year: 1971 number: 3664
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003664
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital
3. PRINT NAME OF DECEASED Pickup, Agnes
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE St. Anthony's, Liverpool, England
9. DATE OF BIRTH 4 28, 1886
10. AGE in Years85 Months1 Days3 | hrs or mins
11. Trade or profession Household duties
12. Kind of industry At home
13. Date last worked 14. Total years
15. If married name of spouse Francis Pickup
16. NAME of Father Richard Carty
17. BIRTHPLACE England
18. NAME of Mother Agnes Jolley
19. BIRTHPLACE England
20. Signature of Informant Francis Pickup
address 25 Ninian St. Glace Bay, NS
Relationship to deceased Husband
21. Place of burial St. Anthony's, Glace Bay, NS
Date of burial June 3, 1971
22. Undertaker V.J. McGillivray Funeral Homes Limited, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 31, 1971
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b)
(c)
other
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