Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Henrietta Campbell death at New Glasgow, Pictou County on December 31, 1971

Female Death Registration: Year: 1971 number: 7595

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 007595

1. PLACE OF DEATH   County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital

3. PRINT NAME OF DECEASED Campbell, Henrietta

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

Scottish

7. Single, Married

widowed

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 10  16, 1880

10. AGE in  Years91  Months2  Days15 | hrs or mins

11. Trade or profession

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse John A. Campbell

16. NAME of Father Daniel MacBain

17. BIRTHPLACE NS

18. NAME of Mother Mary MacLean

19. BIRTHPLACE NS

20. Signature of Informant William Campbell

      address Mitchell Street, New Glasgow, Pictou Co., NS

      Relationship to deceased Son

21. Place of burial Brookside Cemetery, New Glasgow, NS

      Date of burial 3 January 1972

22. Undertaker MacQuarrie, Stellarton, Pictou Co., NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH December 31, 1971

CAUSE OF DEATH

(a) Hypostatic Pneumonia

(b) Congestive Heart Failure

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499667

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