Female Death Registration: Year: 1971 number: 5476
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005476
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St Rita’s Hospital
3. PRINT NAME OF DECEASED MacLeod, Annie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Gabarouse
9. DATE OF BIRTH 1 23, 1895
10. AGE in Years76 Months8 Days9 | 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 Lauchlan MacDonald
17. BIRTHPLACE Gabarouse Lake, C.B., NS
18. NAME of Mother Mary MacIntyre
19. BIRTHPLACE Gabarouse Lake, C.B., NS
20. Signature of Informant Edwin MacLeod
address 64 Benson Dr, Sydney, CB., NS
Relationship to deceased Son
21. Place of burial Gabarouse Lake, CB, NS
Date of burial Sept 3 1971
22. Undertaker RH Fillmore Funeral Director, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 1, 1971
CAUSE OF DEATH
(a) Metastatic Carcinoma
(b) Carcinoma of Bowel
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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