Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Annie Germain death at Caledonia, Queens County on August 29, 1970
Female Death Registration: Year: 1970 number: 5435
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005435
1. PLACE OF DEATH County of Queens If in City or Town Caledonia
If death occured in a hospital or institution North Queens Hospital
3. PRINT NAME OF DECEASED Germain, Annie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Maitland Bridge
9. DATE OF BIRTH 5 29, 1874
10. AGE in Years96 Months3 Days | hrs or mins
11. Trade or profession housewife
12. Kind of industry Retired
13. Date last worked 1964 14. Total years
15. If married name of spouse
16. NAME of Father Ludwick Freeman
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Eliza Taylor
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Fred Telfer
address Caledonia
Relationship to deceased Daughter
21. Place of burial Caledonia
Date of burial September 1, 1970
22. Undertaker Chandlers Funeral Home, Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 29, 1970
CAUSE OF DEATH
(a) Cardio vascular accident
(b)
(c)
other
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