Female Death Registration: Year: 1971 number: 5608
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005608
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
If death occured in a hospital or institution Harbour View Hospital, Sydney Mines, NS
3. PRINT NAME OF DECEASED Capstick, Margaret Helen
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE North Sydney, Cape Breton County
9. DATE OF BIRTH 1 18, 1924
10. AGE in Years47 Months8 Days1 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked 19 September 1971 14. Total years 25 years
15. If married name of spouse Thomas Everett Capstick
16. NAME of Father Peter Jobe
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Gillia
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Everett Capstick
address King Street, Florence, NS
Relationship to deceased Husband
21. Place of burial Holy Cross Cemetery, North Sydney, Cape Breton Co., NS
Date of burial 23 September 1971
22. Undertaker Fillmore & Whitman Funeral Home Ltd., North Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 19, 1971
CAUSE OF DEATH
(a) Pulmonary Embolism
(b) ______________?
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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