Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mildred MacHum death at Sydney, Cape Breton County on June 30, 1971
Female Death Registration: Year: 1971 number: 4522
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004522
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 MacHum, Mildred
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Fredericton, New Brunswick
9. DATE OF BIRTH 6 24, 1878
10. AGE in Years93 Months Days6 | 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
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Miss Myrtle Gillmore
address 118 Union Street, Sydney, NS
Relationship to deceased
21. Place of burial Hardwood Hill Cemetery, Sydney, NS
Date of burial July 2, 1971
22. Undertaker R. H. Fillmore Funeral Home Ltd., Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 30, 1971
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b) Fracture of Femoral Neck
(c)
other
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