Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Germaine Sequin death at Dartmouth, Halifax County on August 23, 1970
Female Death Registration: Year: 1970 number: 5116
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005116
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
3. PRINT NAME OF DECEASED Sequin, Germaine
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Montreal, Quebec
9. DATE OF BIRTH 12 1, 1901
10. AGE in Years68 Months8 Days22 | hrs or mins
11. Trade or profession retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Joseph Fournier
17. BIRTHPLACE Quebec
18. NAME of Mother Evelina Boivin
19. BIRTHPLACE Quebec
20. Signature of Informant Mr. David Kennington
address Williamsburg, Ontario
Relationship to deceased son-in-law
21. Place of burial Montreal, Quebec
Date of burial August 24, 1970
22. Undertaker Mattatall Funeral Services, Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 23, 1970
CAUSE OF DEATH
(a) Congestive Heart Failure
(b)
(c)
other
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