Female Death Registration: Year: 1971 number: 5995
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005995
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution Glace Bay General Hospital
3. PRINT NAME OF DECEASED Butts, Mary Jane
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 11 4, 1894
10. AGE in Years76 Months11 Days6 | hrs or mins
11. Trade or profession At Home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Edward Butts
16. NAME of Father Joh Kelloway
17. BIRTHPLACE Newfoundland
18. NAME of Mother Jessie White
19. BIRTHPLACE Newfoundland
20. Signature of Informant George Butts
address Third Street, Birch Grove, Cape Breton, NS
Relationship to deceased Son
21. Place of burial Greenwood Cemetery, Glace Bay, NS
Date of burial 13 October 1971
22. Undertaker Patten's Funeral Home Ltd. Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 10, 1971
CAUSE OF DEATH
(a) Heart Failure
(b) Myxedema
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498069
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