Female Death Registration: Year: 1971 number: 5205
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005205
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Civic Hospital
3. PRINT NAME OF DECEASED MacDonald, Ann
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 18, 1898
10. AGE in Years73 Months5 Days8 | hrs or mins
11. Trade or profession Widowed
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse William R. MacDonald
16. NAME of Father James Zwicker
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Butler
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Russell MacDonald
address RR#1, Port Morien, C.B.
Relationship to deceased Son
21. Place of burial Black Brook, Port Morien
Date of burial August 29, 1971
22. Undertaker Patten's Funeral Home Ltd. Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 26, 1971
CAUSE OF DEATH
(a) Carcinoma of stomach
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497279
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