Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Anne Marie Mah death at Sydney, Cape Breton County on October 17, 1971
Female Death Registration: Year: 1971 number: 6564
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006564
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital
3. PRINT NAME OF DECEASED Mah, Anne Marie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Chinese
7. Single, Married
single
8. BIRTHPLACE Cape Breton
9. DATE OF BIRTH 10 11, 1922
10. AGE in Years19 Months Days6 | hrs or 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 Mah
17. BIRTHPLACE China
18. NAME of Mother Nora Vivian Burke
19. BIRTHPLACE Cape Breton, NS
20. Signature of Informant William Mah
address 50 Lake Front Road, Apt 5, Dartmouth, NS
Relationship to deceased Brother
21. Place of burial Resurrection Cemetery, Sydney Forks, Cape Breton Co., NS
Date of burial 20 October 1971
22. Undertaker T. W. Curry Ltd., Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 17, 1971
CAUSE OF DEATH
(a) Brain Contusion & ___? due to single car accident
(b)
(c)
other
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