Female Death Registration: Year: 1970 number: 5477
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005477
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution St. Vincent Guest House
3. PRINT NAME OF DECEASED Poirier, Marie Phyliss
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Cape Breton
9. DATE OF BIRTH 1 15, 1881
10. AGE in Years89 Months7 Days30 | hrs or mins
11. Trade or profession Retired Housewife
12. Kind of industry at home
13. Date last worked 1960 14. Total years
15. If married name of spouse Simon Poirier
16. NAME of Father Jules Laurence
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Adele Mombourquette
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Kenneth Bullock
address 55 Colonial Rd, North Weymouth, Massachusetts, USA
Relationship to deceased Son-in-law
21. Place of burial Gate of Heaven, Lr. Sackville
Date of burial Sept 17, 1970
22. Undertaker Halifax Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 14, 1970
CAUSE OF DEATH
(a) Hepatitis Metastasis
(b) Gastric Carcinoma
(c)
other Anoemia from GI Bleed
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490785
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