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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