Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charlotte Ann MacCarthy death at Coalburn, Pictou County on June 15, 1971
Female Death Registration: Year: 1971 number: 4192
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004192
1. PLACE OF DEATH County of Pictou If in City or Town Coalburn
If death occured in a hospital or institution McLaughlin Nursing Home
3. PRINT NAME OF DECEASED MacCarthy, Charlotte Ann
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 17, 1885
10. AGE in Years85 Months7 Days29 | 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 Late Herbert MacCarthy
16. NAME of Father Fred W Baird
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Bailiff
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Clarence MacCarthy
address St. Andrew's St. Pictou, NS
Relationship to deceased son
21. Place of burial Waterside, NS
Date of burial June 18, 1971
22. Undertaker McLaren Funeral Home, Pictou
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 15, 1971
CAUSE OF DEATH
(a) Cachexia
(b) Arteriosclerotic dementia
(c) Arteriosclerosis
other Gangrenous ulcers due to arteriosclerosis
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