Female Death Registration: Year: 1971 number: 4923
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004923
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St Rita Hospital
3. PRINT NAME OF DECEASED Harriet, Catherine
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 9 21, 1893
10. AGE in Years77 Months10 Days15 | 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 Thomas Tobin
17. BIRTHPLACE Newfoundland
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Joseph Herriet
address 1 Howe Street, Sydney, NS
Relationship to deceased Son
21. Place of burial Holy Cross Cemetery, Sydney, NS
Date of burial Aug 8, 1971
22. Undertaker T.W. Curry Ltd Funeral Directors, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 5, 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=496998
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