Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Bertha Poirier death at Glace Bay, Cape Breton County on June 25, 1970
Female Death Registration: Year: 1970 number: 4764
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004764
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
3. PRINT NAME OF DECEASED Poirier, Bertha
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Cheticamp
9. DATE OF BIRTH ,
10. AGE in Years84 Months5 Days8 | hrs or mins
11. Trade or profession Houseduties
12. Kind of industry At Home
13. Date last worked May 10, 1970 14. Total years
15. If married name of spouse
16. NAME of Father Poirier
17. BIRTHPLACE Cheticamp
18. NAME of Mother Susan Muise
19. BIRTHPLACE Cheticamp
20. Signature of Informant
address
Relationship to deceased Son
21. Place of burial Inverness.
Date of burial June 25, 1970
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 25, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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