Female Death Registration: Year: 1971 number: 5557
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005557
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED MacIsaac, Agnes
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 2, 1892
10. AGE in Years79 Months1 Days14 | hrs or mins
11. Trade or profession Hswfe - ret'd
12. Kind of industry at home
13. Date last worked 10 yrs 14. Total years 55
15. If married name of spouse Donald F. MacIsaac
16. NAME of Father Angus F. MacIsaac
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Power
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Arthur Joseph Boyd
address 61 Newcastle St., Dartmouth
Relationship to deceased Nephew
21. Place of burial Gate of Heaven Cemetery, Lr. Sackville
Date of burial Aug 18, 1971
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 16, 1971
CAUSE OF DEATH
(a) Unknown type Meningitis
(b) unknown type Meningitis
(c) Pneumonia
other Heart Failure
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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