Female Death Registration: Year: 1970 number: 2160
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002160
1. PLACE OF DEATH County of Kings If in City or Town Greenwood
3. PRINT NAME OF DECEASED Pastien, Jane Bours MacFarlane Ross
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Ukrainian
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 12, 1963
10. AGE in Years6 Months5 Days7 | hrs or mins
11. Trade or profession Student
12. Kind of industry
13. Date last worked Feb. 19-70 14. Total years 1 yr.
15. If married name of spouse
16. NAME of Father Michael Pastien
17. BIRTHPLACE Ottawa, Canada
18. NAME of Mother Jane Ross
19. BIRTHPLACE Scotland
20. Signature of Informant Michael Pastien
address 18 Ivy Street, C. F. B. Greenwood
Relationship to deceased Father
21. Place of burial Ottawa, Ont., Canada
Date of burial February 25 1970
22. Undertaker Warren T. Roop LTD Middleton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 19, 1970
CAUSE OF DEATH
(a) Suffocation (Smoke)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487473
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