Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Bertha Modeste Amirault death at West Pubnico, Yarmouth County on June 28, 1970
Female Death Registration: Year: 1970 number: 4098
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004098
1. PLACE OF DEATH County of Yarmouth If in City or Town West Pubnico
3. PRINT NAME OF DECEASED Amirault, Bertha Modeste
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Cape Forchu
9. DATE OF BIRTH 11 2, 1908
10. AGE in Years61 Months7 Days25 | hrs or mins
11. Trade or profession
12. Kind of industry Housewife
13. Date last worked 14. Total years
15. If married name of spouse Alphonse Amirault
16. NAME of Father William Griffin
17. BIRTHPLACE Cape Breton
18. NAME of Mother Mary Elizabeth Sweeney
19. BIRTHPLACE Canada
20. Signature of Informant Rev. William Amirault
address Box 363 Lake Katrine, New York 12449
Relationship to deceased Son
21. Place of burial West Pubnico Cemetery
Date of burial June 30, 1970
22. Undertaker West Pubnico Funeral Service
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 28, 1970
CAUSE OF DEATH
(a) Acute myocardial infarction massive
(b) Coronary artery disease
(c) Arteriosclerotic cardiovascular disease
other Thyrotoxic goiter senility
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