Female Death Registration: Year: 1971 number: 4385
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004385
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Stephenson, Marjorie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 12 11, 1903
10. AGE in Years67 Months6 Days10 | hrs or mins
11. Trade or profession At Home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Thomas Stephenson
16. NAME of Father David Boutlier
17. BIRTHPLACE Sydney, NS
18. NAME of Mother Maude Steele
19. BIRTHPLACE Newfoundland
20. Signature of Informant Thomas B Stephenson
address 15 Ocean View Terrace, New Waterford
Relationship to deceased Husband
21. Place of burial St. Agnes Cemetery, New Waterford, NS
Date of burial June 24, 1971
22. Undertaker V. J. McGillivray Funeral Homes Ltd., New Waterford, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 21, 1971
CAUSE OF DEATH
(a) Coronary Occlusion
(b) Arteriosclerotic Heart Disease
(c)
other Hypothyroidism
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496460
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