Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Warner death at Sydney, Cape Breton County on November 23, 1971
Female Death Registration: Year: 1971 number: 7166
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007166
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Warner, Mary
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE St. John's, Newfoundland
9. DATE OF BIRTH 10 7, 1886
10. AGE in Years85 Months1 Days16 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Frederick Warner
16. NAME of Father James Welch
17. BIRTHPLACE St. John's, Newfoundland
18. NAME of Mother Mary Anne Kiley
19. BIRTHPLACE St. John's, Newfoundland
20. Signature of Informant Clark Warner
address 70 Jamieson Street, Sydney, NS
Relationship to deceased Son
21. Place of burial Resurrection Cemetery, Sydney Forks, NS
Date of burial 25 November 1971
22. Undertaker T. W. Curry Ltd., Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 23, 1971
CAUSE OF DEATH
(a) Myocardial Infarction with Cardiac Arrest
(b) Carcinoma
(c) Diabetes Mellites and Cerebral Vascular Disease
other Urinary Tract Infection & Bronchopneumonia
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