Female Death Registration: Year: 1971 number: 4402
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004402
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED McGillivray, Annie Rita
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Bridgeport
9. DATE OF BIRTH 12 23, 1911
10. AGE in Years59 Months6 Days17 | hrs or mins
11. Trade or profession Cooks Helper
12. Kind of industry Point Edward Hospital
13. Date last worked July 9/71 14. Total years 10
15. If married name of spouse
16. NAME of Father William McGillivray
17. BIRTHPLACE Low Point, Cape Breton
18. NAME of Mother Mary Ann O'Neil
19. BIRTHPLACE Bridgeport, Glace Bay, Nova Scotia
20. Signature of Informant Mrs. James Kennedy
address 7 Murray St., Glace Bay
Relationship to deceased Sister
21. Place of burial St. Anne's Cemetery, Glace Bay
Date of burial July 14, 1971
22. Undertaker V. J. McGillivray Funeral Homes Limited, 16 Reserve St., Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 10, 1971
CAUSE OF DEATH
(a) Coronary thrombosis
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496477
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