Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Cassie Anne Campbell death at Sydney, Cape Breton County on September 19, 1971

Female Death Registration: Year: 1971 number: 5736

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005736

1. PLACE OF DEATH   County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Spring Garden Villa

3. PRINT NAME OF DECEASED Campbell, Cassie Anne

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

Scottish

7. Single, Married

widowed

8. BIRTHPLACE Cape Breton

9. DATE OF BIRTH 7  29, 1893

10. AGE in  Years78  Months1  Days21 | hrs or mins

11. Trade or profession

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse

16. NAME of Father Neil MacKinnon

17. BIRTHPLACE Cape Breton

18. NAME of Mother Sarah MacNeil

19. BIRTHPLACE Cape Breton

20. Signature of Informant Neil Donald Campbell

      address Grand Narrows, Cape Breton

      Relationship to deceased Son

21. Place of burial St. Barra Cemetery, Christmas Island, C.B.

      Date of burial September 21, 1971

22. Undertaker T.W. Curry Limited, Sydney

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 19, 1971

CAUSE OF DEATH

(a) Congestive Cardiac Failure

(b) Arteriosclerosis

(c)

other Hypothyroidism

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