Female Death Registration: Year: 1971 number: 5723
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005723
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED Fraser, Mary Martha
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Whycocomagh
9. DATE OF BIRTH 2 8, 1892
10. AGE in Years79 Months5 Days17 | hrs or mins
11. Trade or profession House duties
12. Kind of industry at home
13. Date last worked 1961 14. Total years 35
15. If married name of spouse
16. NAME of Father Donald Fraser
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jessie MacKay
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Donald A. Fraser
address Whycocomagh
Relationship to deceased Nephew
21. Place of burial Stewartdale
Date of burial 25 July 1971
22. Undertaker Thompson and Haverstock Funeral Home, Port Hubbards
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 25, 1971
CAUSE OF DEATH
(a) Myelophthisic Anemia
(b) Splenomegaly Sarcoma
(c)
other Carcinoma of Stomach
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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