Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Willena MacCormick death at Sydney Mines, Cape Breton County on June 16, 1971
Female Death Registration: Year: 1971 number: 4629
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004629
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
If death occured in a hospital or institution DOA Harbour View Hospital
3. PRINT NAME OF DECEASED MacCormick, Willena
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 27, 1887
10. AGE in Years84 Months1 Days20 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John Ferguson
17. BIRTHPLACE Reserve, NS
18. NAME of Mother Mrs. John Ferguson
19. BIRTHPLACE NS
20. Signature of Informant Leonard MacCormick
address 65 Atlantic St, Sydney Mines
Relationship to deceased Son
21. Place of burial St. Marys, Sydney Mines
Date of burial June 19, 1971
22. Undertaker George R Francis, Sydney Mines, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 16, 1971
CAUSE OF DEATH
(a) Acute Coronary Infarction
(b) Arteriosclerotic heart disease
(c)
other
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