Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Edith Forrest death at Sydney Mines, Cape Breton County on September 25, 1971
Female Death Registration: Year: 1971 number: 5737
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005737
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
3. PRINT NAME OF DECEASED Forrest, Edith
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 1, 1904
10. AGE in Years67 Months7 Days24 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked July 1, 1971 14. Total years 45
15. If married name of spouse Peter Forrest
16. NAME of Father Willis Wareham
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Esther Butts
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Charles Forrest
address 120 Ocean St., Sydney Mines
Relationship to deceased Son
21. Place of burial Brookside Cemetery, Sydney Mines
Date of burial September 28, 1971
22. Undertaker Fillmore & Whitman Funeral Home Ltd., Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 25, 1971
CAUSE OF DEATH
(a) Carcinomatosis
(b) Ca of Pancreas & Liver
(c)
other Diabetes adult life
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