Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Catherine Lee Avery death at New Glasgow, Pictou County on October 10, 1971
Female Death Registration: Year: 1971 number: 6283
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006283
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED Avery, Catherine Lee
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Caucasian
7. Single, Married
8. BIRTHPLACE New Glasgow
9. DATE OF BIRTH 10 10, 1971
10. AGE in Years Months Days | 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 Frederick Joseph Avery
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Edith Mae Cameron
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Fred Avery
address RR#3, Crombie Trailer Court, New Glasgow
Relationship to deceased Father
21. Place of burial Holy Cross, New Glasgow
Date of burial October 11, 1971
22. Undertaker Angus, New Glasgow
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 10, 1971
CAUSE OF DEATH
(a) Anecephalic with cerebral malformation
(b)
(c)
other
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