Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Esther Ann Fraser death at Glace Bay, Cape Breton County on August 11, 1971
Female Death Registration: Year: 1971 number: 5015
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005015
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St Joseph's Hospital
3. PRINT NAME OF DECEASED Fraser, Esther Ann
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE New Waterford
9. DATE OF BIRTH 3 29, 1970
10. AGE in Years1 Months4 Days13 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father David Fraser
17. BIRTHPLACE New Waterford, NS
18. NAME of Mother Theresa Sims
19. BIRTHPLACE New Waterford, NS
20. Signature of Informant Ethel MacPherson R.N.
address 118 Reserve St Glace Bay, NS
Relationship to deceased
21. Place of burial St Anne's Cemetery, Glace Bay, NS
Date of burial August 11, 1971
22. Undertaker V. J McGillivray Funeral Homes Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 11, 1971
CAUSE OF DEATH
(a) Lobar pneumonia
(b)
(c)
other Mongoloid infant
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