Female Death Registration: Year: 1971 number: 7371
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007371
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital
3. PRINT NAME OF DECEASED Eveleigh, Josephine
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 11 17, 1892
10. AGE in Years79 Months0 Days28 | hrs or mins
11. Trade or profession widowed
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse John Eveleigh
16. NAME of Father George Monister
17. BIRTHPLACE Newfoundland
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Louis Burnee for Mrs. Loreta MacPherson
address 209 Wallace Road, Glace Bay
Relationship to deceased Daughter
21. Place of burial Glace Bay
Date of burial December 18, 1871
22. Undertaker Pattens Funeral Home, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 15, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499443
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