Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Annie Beatric MacIntosh death at Havre Boucher, Antigonish County on August 14, 1971
Female Death Registration: Year: 1971 number: 5865
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005865
1. PLACE OF DEATH County of Antigonish If in City or Town Havre Boucher
3. PRINT NAME OF DECEASED MacIntosh, Annie Beatric
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Haure Bouche
9. DATE OF BIRTH 11 24, 1879
10. AGE in Years91 Months7 Days18 | hrs or mins
11. Trade or profession House duties
12. Kind of industry At home
13. Date last worked 1958 14. Total years 60 yrs
15. If married name of spouse
16. NAME of Father Michael Fougere
17. BIRTHPLACE Haure Bouche
18. NAME of Mother Isabel Fougere
19. BIRTHPLACE Haure Bouche
20. Signature of Informant Mrs. J.B. MacIntosh
address Haure Bouche
Relationship to deceased Daughter in law
21. Place of burial Haure Bouche, NS
Date of burial August 14, 1971
22. Undertaker Rod MacDonald Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 14, 1971
CAUSE OF DEATH
(a) Senile Decay
(b)
(c)
other
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