Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Shirley Theresa Decoste death at Halifax, Halifax County on June 10, 1970
Female Death Registration: Year: 1970 number: 4020
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004020
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 Decoste, Shirley Theresa
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Antigonish County
9. DATE OF BIRTH 7 19, 1950
10. AGE in Years19 Months10 Days22 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked Dec./69 14. Total years 2
15. If married name of spouse Mr. Ronald DeCoste
16. NAME of Father Daniel Peebles
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Gladys Grant
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Ronald M. DeCoste
address RR#2, Havre Boucher
Relationship to deceased Husband
21. Place of burial Mulgrave
Date of burial June 13, 1970
22. Undertaker Thompson & Haverstock Funeral Home, Port Hawkesbury
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 10, 1970
CAUSE OF DEATH
(a) Cachexia
(b) Hodgkin's disease
(c)
other Marked jaundice Bowel Obstruction
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