Female Death Registration: Year: 1971 number: 4014
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004014
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St. Elizabeth Hospital
3. PRINT NAME OF DECEASED Henry, Emma
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE New Brunswick
9. DATE OF BIRTH 11 20, 1893
10. AGE in Years77 Months7 Days | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Larry Petrie
17. BIRTHPLACE New Brunswick
18. NAME of Mother Margaret
19. BIRTHPLACE New Brunswick
20. Signature of Informant Gordon Henry
address Forbes Ave., North Sydney, NS
Relationship to deceased Grandson
21. Place of burial Holy Cross Cemetery, North Sydney
Date of burial 22 June 1971
22. Undertaker W. J. Dooley Funeral Service Limited, North Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 20, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496089
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