Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Euphenia Baker death at Middleton, Annapolis County on September 12, 1971
Female Death Registration: Year: 1971 number: 5575
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005575
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldiers Memorial Hospital
3. PRINT NAME OF DECEASED Baker, Mary Euphenia
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Inglisville
9. DATE OF BIRTH 8 26, 1873
10. AGE in Years98 Months1 Days16 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1965 14. Total years 60
15. If married name of spouse Not Available
16. NAME of Father Edgar Baker
17. BIRTHPLACE NS
18. NAME of Mother Anne Barteaux
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Celeste Rafuse
address Lawrencetown, Anna. Co., NS
Relationship to deceased Niece
21. Place of burial Fairview Cemetery, Lawrencetown, Anna. Co.
Date of burial September 15, 1971
22. Undertaker Frederick G. Roop Funeral Service, Main Street, Middleton, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 12, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b)
(c)
other Cerebral Atherosclerosis with Chronic Brain Syndrome
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