Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Lauretta MacInnis death at Sydney, Cape Breton County on October 17, 1971
Female Death Registration: Year: 1971 number: 6221
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006221
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution MacGillivray Guest Home
3. PRINT NAME OF DECEASED MacInnis, Mary Lauretta
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Middle Cape, Cape Breton County
9. DATE OF BIRTH 4 22, 1885
10. AGE in Years86 Months5 Days25 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Joseph MacInnis
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant James F. MacInnis
address 22 Kenway Road, Toronto, ON
Relationship to deceased Son
21. Place of burial Holy Cross Cemetery, Sydney, Cape Breton Co., NS
Date of burial 20 October 1971
22. Undertaker K. W. Curry, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 17, 1971
CAUSE OF DEATH
(a) Hypostatic Pneumonia
(b) Senility & Old Age
(c)
other
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