Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Charles Shepard death at Antigonish, Antigonish County on May 27, 1971
Female Death Registration: Year: 1971 number: 3764
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003764
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution Bethany House
3. PRINT NAME OF DECEASED Shepard, Mary Charles
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 8 7, 1884
10. AGE in Years86 Months9 Days26 | hrs or mins
11. Trade or profession Retired Domestic
12. Kind of industry Religious
13. Date last worked 1964 14. Total years 51
15. If married name of spouse
16. NAME of Father Edward Shepard
17. BIRTHPLACE Newfoundland
18. NAME of Mother Elizabeth Edwards
19. BIRTHPLACE Newfoundland
20. Signature of Informant Sister Geraldine Foley
address Bethany, Antigonish, NS
Relationship to deceased
21. Place of burial Antigonish, NS
Date of burial May 29, 1971
22. Undertaker MacIsaac Funeral Home, Antigonish, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 27, 1971
CAUSE OF DEATH
(a) Senile Arteriosclerotic Heart Disease
(b) Had Diverticulitis with Rupture
(c)
other Tuberculous Adenitis
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