Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Mary Carroll death at Glace Bay, Cape Breton County on October 5, 1971

Female Death Registration: Year: 1971 number: 6103

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006103

1. PLACE OF DEATH   County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital

3. PRINT NAME OF DECEASED Carroll, Mary

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

Ukrainian

7. Single, Married

widowed

8. BIRTHPLACE Ukraine

9. DATE OF BIRTH 4  16, 1892

10. AGE in  Years74  Months5  Days19 | hrs or mins

11. Trade or profession Houseduties

12. Kind of industry at home

13. Date last worked       14. Total years

15. If married name of spouse

16. NAME of Father Gregory Shanks

17. BIRTHPLACE Ukraine

18. NAME of Mother Katerine 

19. BIRTHPLACE Ukraine

20. Signature of Informant Catherine Marchysen

      address 132 Wallace Rd. Glace Bay

      Relationship to deceased Daughter

21. Place of burial St. Anne's Cemetery, Glace Bay

      Date of burial October 7, 1971

22. Undertaker Curry's Funeral Home

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 5, 1971

CAUSE OF DEATH

(a) Myocardial Infarction

(b) Arteriosclerosis

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498176

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