Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Genevieve Matlock death at New Waterford, Cape Breton County on December 28, 1971
Female Death Registration: Year: 1971 number: 7628
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007628
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution New Waterford Hospital
3. PRINT NAME OF DECEASED Matlock, Genevieve
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Polish
7. Single, Married
married
8. BIRTHPLACE Glace Bay
9. DATE OF BIRTH 12 8, 1910
10. AGE in Years61 Months0 Days20 | hrs or mins
11. Trade or profession At Home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Joseph Matlock
16. NAME of Father Charles Berger
17. BIRTHPLACE Poland
18. NAME of Mother Mary Ropek
19. BIRTHPLACE Poland
20. Signature of Informant Joseph Matlock
address 163 Heelan St., New Waterford, Cape Breton Co., NS
Relationship to deceased Husband
21. Place of burial St. Michael Cemetery, Scotchtown
Date of burial December 31, 1971
22. Undertaker V.J. McGillivray Funeral Homes Ltd. New Waterford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 28, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Arteriosclerotic Heart Disease
(c) Hypertension
other
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