Female Death Registration: Year: 1970 number: 2833
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002833
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Brisson, Rose Carmel
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Antigonish County
9. DATE OF BIRTH 4 25, 1941
10. AGE in Years28 Months11 Days21 | hrs or mins
11. Trade or profession Computer Operator
12. Kind of industry H.M.C.S. Dockyard
13. Date last worked October 1969 14. Total years 5 years
15. If married name of spouse Gaston Brisson
16. NAME of Father Donald MacDonald
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jessie
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Gaston Brisson
address 28 Dawson Street, Dartmouth
Relationship to deceased Husband
21. Place of burial Gate of Heaven Cemetery, Lower Sackville
Date of burial 18 April 1970
22. Undertaker Halifax Funeral Home Ltd., Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 15, 1970
CAUSE OF DEATH
(a) Chronic Renal Failure
(b) Diabetes Mellitus
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488145
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