Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Phyllis Alexandria Devernet MacLeod death at Amherst, Cumberland County on June 17, 1971
Female Death Registration: Year: 1971 number: 4251
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004251
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED MacLeod, Phyllis Alexandria Devernet
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Cumberland County
9. DATE OF BIRTH 1 26, 1913
10. AGE in Years58 Months4 Days22 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1969 14. Total years 30
15. If married name of spouse Douglas MacLeod
16. NAME of Father Alexander Reid
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Maude MacLeod
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Douglas MacLeod
address Rockley, Cumb. Co.
Relationship to deceased Husband
21. Place of burial Rockley, Nova Scotia
Date of burial June 20, 1971
22. Undertaker W.L. Mundle, Pugwash, Nova Scotia
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 17, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Congestive Heart Failure
(c) Angina Pectoris
other
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