Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Davis death at Glace Bay, Cape Breton County on November 15, 1971
Female Death Registration: Year: 1971 number: 6597
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006597
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
3. PRINT NAME OF DECEASED Davis, Mary
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 9 2, 1899
10. AGE in Years72 Months2 Days13 | hrs or mins
11. Trade or profession Spinster, house duties
12. Kind of industry at home
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father George Davis
17. BIRTHPLACE Newfoundland
18. NAME of Mother Fanny Fagon
19. BIRTHPLACE Newfoundland
20. Signature of Informant C. T. Davis
address Box 901, Font Hill, Ontario
Relationship to deceased Nephew
21. Place of burial Greenwood Cemetery, Glace Bay, NS
Date of burial November 19, 1971
22. Undertaker Patten's Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 15, 1971
CAUSE OF DEATH
(a)
(b)
(c)
other
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