Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ethel MacLean death at Antigonish, Antigonish County on June 12, 1971
Female Death Registration: Year: 1971 number: 3859
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003859
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St Martha's Hospital
3. PRINT NAME OF DECEASED MacLean, Ethel
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Westville
9. DATE OF BIRTH 9 21, 1893
10. AGE in Years77 Months8 Days22 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Fisher Crocket
17. BIRTHPLACE Pictou Co. NS
18. NAME of Mother Minnie Cassidy
19. BIRTHPLACE Pictou Co. NS
20. Signature of Informant Douglas MacLean
address 406 Cottage Rd, Sydney, NS
Relationship to deceased Son
21. Place of burial Hardwood Hill Cemetery, Sydney, NS
Date of burial June 15, 1971
22. Undertaker R.H. Fillmore Funeral Home Ltd, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 12, 1971
CAUSE OF DEATH
(a) Fractured Skull
(b)
(c) Multiple Skeletal Fractures , fractured spine
other Accident: passenger head-on 2 vehicle collision
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