Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Anastasia Mary De Gruchy death at Antigonish, Antigonish County on May 24, 1970
Female Death Registration: Year: 1970 number: 4050
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004050
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED De Gruchy, Anastasia Mary
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Havre Boucher
9. DATE OF BIRTH 5 7, 1897
10. AGE in Years73 Months0 Days17 | hrs or mins
11. Trade or profession Houseduties
12. Kind of industry At Home
13. Date last worked Apr/69 14. Total years 50
15. If married name of spouse
16. NAME of Father Patrick De Coste
17. BIRTHPLACE Havre Boucher
18. NAME of Mother Mary De Coste
19. BIRTHPLACE Havre Boucher
20. Signature of Informant Mrs. Ed De Young
address Havre Boucher
Relationship to deceased Daughter
21. Place of burial Havre Boucher
Date of burial May 27, 1970
22. Undertaker Rod MacDonald Funeral Home, Port Hawkesbury
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 24, 1970
CAUSE OF DEATH
(a) Congestive heart failure
(b) Old Rhumatic heart disease & gross cardiomegaly
(c)
other
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