Female Death Registration: Year: 1971 number: 5105
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005105
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Woods, Annie Kate
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Mira Ferry
9. DATE OF BIRTH 10 3, 1881
10. AGE in Years89 Months9 Days8 | hrs or mins
11. Trade or profession
12. Kind of industry At home
13. Date last worked 14. Total years
15. If married name of spouse James Woods
16. NAME of Father Donald MacCuish
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary MacKinnon
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Miss. Kate Woods
address 355 Main St., Glace Bay
Relationship to deceased Daughter
21. Place of burial Black Brook, Port Morien, Queens Co.
Date of burial July 13, 1971
22. Undertaker Patten's Funeral Home, Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 11, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Diffuse Atherosclerotic Heart Disease
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497179
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