Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Grace Ellen MacInnis death at Sydne r, Sydne r County on November 27, 1971
Female Death Registration: Year: 1971 number: 7168
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007168
1. PLACE OF DEATH County of Sydne r If in City or Town Sydne r
If death occured in a hospital or institution Cape Breton Hospital
3. PRINT NAME OF DECEASED MacInnis, Grace Ellen
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Caucasian
7. Single, Married
single
8. BIRTHPLACE Sydney, Cape Breton County
9. DATE OF BIRTH , 1909
10. AGE in Years62 Months Days | 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 MacInnis
17. BIRTHPLACE Sydney, Cape Breton Co., NS
18. NAME of Mother Marg Bourjeois
19. BIRTHPLACE Cheticamp, Inverness Co., NS
20. Signature of Informant John MacInnis
address 150 Welton Street, Sydney, NS
Relationship to deceased Brother
21. Place of burial Resurrection Cemetery, Sydney Forks, Cape Breton Co., NS
Date of burial 28 November 1971
22. Undertaker R. H. Fillmore Funeral Home Ltd., 141 Dorchester Street, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 27, 1971
CAUSE OF DEATH
(a) Cardiac Failure due to Arteriosclerotic Cardiac Disease
(b)
(c)
other
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