Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Kelly Joanne Dwyer death at Sydney Forks, Cape Breton County on September 5, 1971
Female Death Registration: Year: 1971 number: 5478
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005478
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Forks
3. PRINT NAME OF DECEASED Dwyer, Kelly Joanne
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 8 11, 1971
10. AGE in Years Months Days25 | 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 Gillis Dwyer
17. BIRTHPLACE Montreal, PQ
18. NAME of Mother Mary Anna LeClair
19. BIRTHPLACE Sydney
20. Signature of Informant Gillis T. Dwyer
address Sydney Forks, C.B.
Relationship to deceased Father
21. Place of burial St. Mary's Cemetery, East Bay, C.B.
Date of burial Sept 7, 1971
22. Undertaker Gillis T. Dwyer (father) Sydney Forks, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 5, 1971
CAUSE OF DEATH
(a) Sudden Crib Death
(b)
(c)
other
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