Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Willa Marie Pickrem death at Sydney, Cape Breton County on October 15, 1971
Female Death Registration: Year: 1971 number: 5998
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005998
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City Hospital
3. PRINT NAME OF DECEASED Pickrem, Willa Marie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
7. Single, Married
single
8. BIRTHPLACE Sydney, Cape Breton County
9. DATE OF BIRTH 10 15, 1971
10. AGE in Years Months Days | 1 hrs or 30 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 John MacDonald
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Theresa Donato
19. BIRTHPLACE Sydney Mines, Cape Breton Co., NS
20. Signature of Informant Theresa Pickrem
address 25 Barrington Street, Sydney Mines, NS
Relationship to deceased Mother
21. Place of burial St. Joseph's Cemetery, Sydney Mines, NS
Date of burial 16 October 1971
22. Undertaker George R. Francis, Sydney Mines, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 15, 1971
CAUSE OF DEATH
(a) Severe Asphyxia Neonatorum
(b) Prematurity (34-36 weeks)
(c)
other Caesarean Section
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