Female Death Registration: Year: 1971 number: 5480
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005480
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital
3. PRINT NAME OF DECEASED Matheson, Catherine
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scotish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 13, 1885
10. AGE in Years86 Months2 Days28 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked June 1971 14. Total years 60
15. If married name of spouse William Matheson
16. NAME of Father Alexander MacAskill
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie MacLean
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Annie MacDonald
address South Haven, Victoria Co., NS
Relationship to deceased Daughter
21. Place of burial Goose Cove Cemetery, Goose Cove, NS
Date of burial September 13, 1971
22. Undertaker Fillmore & Whitman Funeral Home Ltd., Sydney Mines, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 10, 1971
CAUSE OF DEATH
(a) Extreme Diverticulitis of the Large Bowel with Partial Obstruction
(b) Renal Failure and Septic Shock
(c)
other Generalized Atherosclerosis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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