Female Death Registration: Year: 1971 number: 5236
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005236
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 MacDonald, Mary Ann
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 10, 1881
10. AGE in Years89 Months9 Days22 | hrs or mins
11. Trade or profession House duties
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Donald MacDonald
17. BIRTHPLACE NS
18. NAME of Mother M.A. Gillis
19. BIRTHPLACE NS
20. Signature of Informant Mary Ann MacMillan
address Sydney Road, Reserve
Relationship to deceased granddaughter
21. Place of burial Antigonish, NS
Date of burial Sept 3rd, 1971
22. Undertaker Curry's Funeral Home, Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 1, 1971
CAUSE OF DEATH
(a) Cerebral Vascular Infarction
(b) Arteriosclerosis
(c) (Illegible)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497310
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