Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Theresa Lelievre death at Sydney, Cape Breton County on January 26, 1970
Female Death Registration: Year: 1970 number: 1833
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001833
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital
3. PRINT NAME OF DECEASED Lelievre, Theresa
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 25, 1970
10. AGE in Years Months Days | 17 hrs or 22 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
17. BIRTHPLACE
18. NAME of Mother Carole Ann LeLievre
19. BIRTHPLACE Sydney
20. Signature of Informant Carole LeLievre
address 95 Bentinck St., Sydney
Relationship to deceased Mother
21. Place of burial Resurrection Cemetery, Sydney Forks
Date of burial January 26, 1970
22. Undertaker T.W. Curry, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 26, 1970
CAUSE OF DEATH
(a) Anoxic Brain Damage
(b) Prematurity
(c)
other Loss of Respiratory Control
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