Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Annie Cleveland McIntyre death at Berwick, Kings County on September 5, 1971
Female Death Registration: Year: 1971 number: 5526
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005526
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution Western Kings Memorial Hospital
3. PRINT NAME OF DECEASED McIntyre, Annie Cleveland
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Rawdon, Hants County
9. DATE OF BIRTH 2 3, 1885
10. AGE in Years86 Months7 Days2 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse John McIntyre
16. NAME of Father William Holland
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Follett
19. BIRTHPLACE Nova Scotia
20. Signature of Informant William McIntyre
address New Minas, NS
Relationship to deceased Son
21. Place of burial Aylesford, NS
Date of burial September 8, 1971
22. Undertaker H. C. Lindsay Funeral Homes Ltd., Berwick
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 5, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b)
(c)
other Arteriosclerosis
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