Female Death Registration: Year: 1971 number: 3868
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003868
1. PLACE OF DEATH County of Cape Breton If in City or Town Prime Brook
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED MacInnis, Mary Elizabeth
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Cape Breton
9. DATE OF BIRTH 7 6, 1894
10. AGE in Years76 Months10 Days18 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Donald John
16. NAME of Father Neil Hugh MacKinnon
17. BIRTHPLACE Cape Breton
18. NAME of Mother Mary Ann MacDonald
19. BIRTHPLACE Cape Breton
20. Signature of Informant Cameron MacInnis
address 1639 Alexandra Street, Sydney, NS
Relationship to deceased Son
21. Place of burial Resurrection Cemetery, Sydney Forks, NS
Date of burial May 27, 1971
22. Undertaker T.W. Curry Limited, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 25, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495944
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